Provider Demographics
NPI:1508690199
Name:DISCOVERING YOUR JOURNEY, PLLC
Entity type:Organization
Organization Name:DISCOVERING YOUR JOURNEY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DINGLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:919-432-9558
Mailing Address - Street 1:33 FELLOWSHIP DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-9608
Mailing Address - Country:US
Mailing Address - Phone:919-432-9558
Mailing Address - Fax:
Practice Address - Street 1:33 FELLOWSHIP DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-9608
Practice Address - Country:US
Practice Address - Phone:919-432-9558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1669808838Medicaid