| Divine Transitions Llc | |
|
131 Nahm St Ste 9 Paducah KY 42001-4362 | |
| (270) 625-5005 | |
| (270) 713-0638 |
| Full Name | Divine Transitions Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 131 Nahm St Ste 9, Paducah, Kentucky |
| Authorized Official Name and Position | Holly Wiggs (MEDICAL BILLING SPECIALIST) |
| Authorized Official Contact | 7657603500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Transitions Llc 131 Nahm St Ste 9 Paducah KY 42001-4362 Ph: (270) 625-5005 | Divine Transitions Llc 131 Nahm St Ste 9 Paducah KY 42001-4362 Ph: (270) 625-5005 |
| NPI Number | 1023827854 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023827854 | NPI | - | NPPES |
| 7100866450 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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