Provider Demographics
NPI:1932539574
Name:DYNAMIC FAMILIY THERAPIES LLC
Entity Type:Organization
Organization Name:DYNAMIC FAMILIY THERAPIES LLC
Other - Org Name:DYNAMIC FAMILY THERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-410-8400
Mailing Address - Street 1:2110 E FLAMINGO RD
Mailing Address - Street 2:SUITE 317
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5190
Mailing Address - Country:US
Mailing Address - Phone:702-410-8400
Mailing Address - Fax:702-410-8401
Practice Address - Street 1:2110 E FLAMINGO RD
Practice Address - Street 2:SUITE 317
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5190
Practice Address - Country:US
Practice Address - Phone:702-410-8400
Practice Address - Fax:702-410-8401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0679103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty