Provider Demographics
NPI:1356981393
Name:DMS SERVICES, INC
Entity type:Organization
Organization Name:DMS SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLYBA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:714-908-0028
Mailing Address - Street 1:1633 E 4TH ST STE 160
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-5176
Mailing Address - Country:US
Mailing Address - Phone:714-865-1769
Mailing Address - Fax:714-364-0071
Practice Address - Street 1:601 S HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-4521
Practice Address - Country:US
Practice Address - Phone:714-908-0028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty