MR. CHARLES L DIVINEY MC LPC NCC CCMHC NPI 1174588230

NPI Information

NPI: 1174588230
Provider Name: MR. CHARLES L DIVINEY, MC, LPC, NCC, CCMHC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
352 DENVER ST
SUITE 215
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 521-4227
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MR. Charles L Diviney, MC, LPC, NCC, CCMHC is a professional counselor in Salt Lake City, UT. MR. Charles L Diviney, MC, LPC, NCC, CCMHC NPI is 1174588230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

352 DENVER ST
SUITE 215
SALT LAKE CITY, UT
ZIP 84111-000
Phone: (801) 521-4227
Fax: (801) 359-0777

The enumeration date for this NPI number is 4/19/2006 and was last updated on 7/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	340426-6004	UTAH	No
2	101YM0800X	Counselor	Mental Health	340426-6004	UTAH	No
3	101YP2500X	Counselor	Professional	340426-6004	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34042660001001	OTHER	UTAH	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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