Provider Demographics
NPI:1508364993
Name:RENOVATING DYNASTIES COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:RENOVATING DYNASTIES COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DUNMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:512-786-3384
Mailing Address - Street 1:PO BOX 2113
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78691-2113
Mailing Address - Country:US
Mailing Address - Phone:512-786-3384
Mailing Address - Fax:512-551-2619
Practice Address - Street 1:821 GRAND AVENUE PKWY STE 108
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2197
Practice Address - Country:US
Practice Address - Phone:512-786-3384
Practice Address - Fax:512-551-2619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8987101YA0400X
TX62846101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty