Healthcare Provider Details

I. General information

NPI: 1144015553
Provider Name (Legal Business Name): GLOBAL DYNAMIC GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

958 SADDLEBRED LN
RAEFORD NC
28376-5530
US

IV. Provider business mailing address

958 SADDLEBRED LN
RAEFORD NC
28376-5530
US

V. Phone/Fax

Practice location:
  • Phone: 910-527-7081
  • Fax:
Mailing address:
  • Phone: 910-527-7081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MARTIN RODERIQUE JULIEN
Title or Position: PRESIDENT
Credential:
Phone: 910-527-7081