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DIVINE 5 SERVICES LLP NPI 1225700073


NPI Information

NPI: 1225700073
Provider Name: DIVINE 5 SERVICES LLP
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
155 BANKERS BLVD STE G100
MONROE, GA
ZIP 30655
Phone: (404) 274-1378
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DIVINE 5 SERVICES LLP is a community behavioral health in Monroe, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DIVINE 5 SERVICES LLP NPI is 1225700073. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 BANKERS BLVD STE G100
MONROE, GA
ZIP 30655-727
Phone: (404) 274-1378

The provider's authorized official is Elante Harris .
The authorized official title is President and has the following contact phone number (404) 274-1378.

The enumeration date for this NPI number is 9/30/2021 and was last updated on 9/30/2021.


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
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
2251B00000XCase ManagementNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4343800000XSecured Medical Transport (VAN)No
5343900000XNon-emergency Medical Transport (VAN)No
6373H00000XDay Training/Habilitation SpecialistNo
7251S00000XCommunity/Behavioral HealthYes

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: 5/5/2024

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