| Divine Purpose | |
|
24816 Brickwood Meadow Ln North Dinwiddie VA 23803-8869 | |
| (804) 520-1366 | |
| Not Available |
| Full Name | Divine Purpose |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 24816 Brickwood Meadow Ln, North Dinwiddie, Virginia |
| Authorized Official Name and Position | Vernita Kaye Ellis (LICENSE PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8045201366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Purpose 17305 Gatewood Rd Dinwiddie VA 23841-2619 Ph: (804) 520-1366 | Divine Purpose 24816 Brickwood Meadow Ln North Dinwiddie VA 23803-8869 Ph: (804) 520-1366 |
| NPI Number | 1437550217 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 09/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437550217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0701005361 (Virginia) | Primary |
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