Healthcare Provider Details

I. General information

NPI: 1821731613
Provider Name (Legal Business Name): DYNAMIC COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 GOVERNMENT CENTER DR STE 200
WILMINGTON NC
28403-1796
US

IV. Provider business mailing address

301 GOVERNMENT CENTER DR STE 200
WILMINGTON NC
28403-1796
US

V. Phone/Fax

Practice location:
  • Phone: 910-877-8180
  • Fax: 910-218-9337
Mailing address:
  • Phone: 910-877-8180
  • Fax: 910-218-9337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNA LEE JOHNSTON
Title or Position: OWNER/CLINICIAN
Credential: CMHC
Phone: 910-877-8180