Healthcare Provider Details

I. General information

NPI: 1114137304
Provider Name (Legal Business Name): PERSONAL DYNAMICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 BALLARD ST
ALTAMONTE SPRINGS FL
32701-5441
US

IV. Provider business mailing address

200 MAITLAND AVE APT 191
ALTAMONTE SPRINGS FL
32701-5551
US

V. Phone/Fax

Practice location:
  • Phone: 407-869-1776
  • Fax:
Mailing address:
  • Phone: 407-869-1776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH3513
License Number StateFL

VIII. Authorized Official

Name: MRS. MARGARET S SEYKORA
Title or Position: PRESIDENT
Credential: LMHC
Phone: 407-869-1776