Provider Demographics
NPI:1942951462
Name:DYNAMIC MENTAL HEALTH PLLC
Entity Type:Organization
Organization Name:DYNAMIC MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUNIA
Authorized Official - Middle Name:KARANA
Authorized Official - Last Name:ZEBARI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-536-2754
Mailing Address - Street 1:37280 CHELSEA CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2812
Mailing Address - Country:US
Mailing Address - Phone:248-701-9311
Mailing Address - Fax:248-792-3249
Practice Address - Street 1:30200 TELEGRAPH RD STE 207
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-5711
Practice Address - Country:US
Practice Address - Phone:248-701-9311
Practice Address - Fax:248-792-3249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty