| Divergent Therapy Solutions Llc | |
|
863 Wright Ave Alliance OH 44601-2835 | |
| (330) 428-4611 | |
| Not Available |
| Full Name | Divergent Therapy Solutions Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 863 Wright Ave, Alliance, Ohio |
| Authorized Official Name and Position | Kayla Marie Johnson (OWNER, THERAPIST) |
| Authorized Official Contact | 3304284611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divergent Therapy Solutions Llc 863 Wright Ave Alliance OH 44601-2835 Ph: (330) 428-4611 | Divergent Therapy Solutions Llc 863 Wright Ave Alliance OH 44601-2835 Ph: (330) 428-4611 |
| NPI Number | 1558198481 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558198481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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