| D'vine Therapeutic Services, Inc. | |
|
3900 W Commercial Blvd Suite 232 Tamarac FL 33309-3328 | |
| (954) 682-7903 | |
| (786) 497-3863 |
| Full Name | D'vine Therapeutic Services, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3900 W Commercial Blvd, Tamarac, Florida |
| Authorized Official Name and Position | Yolle-guida Dervil (FOUNDER/CEO) |
| Authorized Official Contact | 9546827903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D'vine Therapeutic Services, Inc. 3900 W Commercial Blvd Suite 232 Tamarac FL 33309-3328 Ph: (954) 682-7903 | D'vine Therapeutic Services, Inc. 3900 W Commercial Blvd Suite 232 Tamarac FL 33309-3328 Ph: (954) 682-7903 |
| NPI Number | 1891118055 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891118055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT 2648 (Florida) | Primary |
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