| Divine Minds Llc | |
|
13701 Us Highway 29 Ste 3 Chatham VA 24531-3611 | |
| (434) 429-7780 | |
| (434) 433-2063 |
| Full Name | Divine Minds Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13701 Us Highway 29 Ste 3, Chatham, Virginia |
| Authorized Official Name and Position | Tenisha Smith (CEO) |
| Authorized Official Contact | 4344297780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Minds Llc 13701 Us Highway 29 Ste 3 Chatham VA 24531-3611 Ph: (434) 429-7780 | Divine Minds Llc 13701 Us Highway 29 Ste 3 Chatham VA 24531-3611 Ph: (434) 429-7780 |
| NPI Number | 1972388775 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972388775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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