DIVINE INTERVENTIONS & COUNSELING SERVICES LLC (NPI# 1205176427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205176427 |
| Entity Type | Organization |
| Organization Name | DIVINE INTERVENTIONS & COUNSELING SERVICES LLC |
| Practice Address |
100 N Patterson St Suite C Valdosta GA 31601-5570 |
| Mailing Address |
Po Box 5514 Valdosta GA 31603-5514 |
| Practice Telephone | 2293168971 |
| Mailing Telephone | 2293168971 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | MRS. CRYSTAL LETICIA TATANISHA ROBERTS (FOUNDER/ PSYCHOTHERAPIST) |
| Authorized Official Telephone | 2293168971 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003133171A | 05 |
| Street Address |
100 N PATTERSON ST SUITE C |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31601-5570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700838 | Tristan Carlos Garcia | Specialist/Technologist | 605 West Mary Street, Valdosta, GA 31601 | 2019-09-26 |
| 1508332438 | Euniqua Lashay Williams | Contractor | 812 Lausanne Drive, Valdosta, GA 31601 | 2018-10-18 |
| 1457847634 | Valencia Meshay Johnson | Contractor | 1211 North Oak Street, Valdosta, GA 31601 | 2018-07-10 |
| 1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
| 1609373133 | Ikea Sharnay Calhoun | Contractor | 1710 Dedo Drive, Valdosta, GA 31601 | 2018-04-11 |
| 1174049431 | Alexious Denson | Contractor | 900 Blanton St., Apt A16, Valdosta, GA 31601 | 2017-08-18 |
| 1578012258 | Clarissa Yolanda Alderman | Counselor | 4107 N Forrest Run Circle, Valdosta, GA 31601 | 2016-09-23 |
| 1225322613 | Andrea J. Ramirez | Counselor | 1301 Melody Ln Ste B, Valdosta, GA 31601 | 2011-06-03 |
| 1316248560 | L&r Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Sharper Circle, Valdosta, GU 31601 | 2010-11-04 |
| 1902121809 | Grace Healthcare Services Inc | Respite Care | 1010 Slater Street, Valdosta, GA 31601 | 2010-04-02 |
| Find all providers in zip 31601 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942654512 | Mcdougle Personal Care Home Inc | Community/Behavioral Health | 808 Bethune St, Valdosta, GA 31601-6202 | 2016-04-20 |
| 1508290099 | Pinnacle Counseling Services | Community/Behavioral Health | 1205 Baytree Road #8, Valdosta, GA 31602 | 2013-09-03 |
| 1548693039 | L.e.a.f. Therapy Services, LLC | Community/Behavioral Health | 223 N Ashley St, Ste 311, Valdosta, GA 31601-5694 | 2013-08-20 |
| 1093078958 | Life Counseling and Dui School Services | Community/Behavioral Health | 3720 Bermuda Run Dr, Valdosta, GA 31605-1060 | 2012-06-15 |
| 1811253719 | Pinnacle Counseling Services, LLC | Community/Behavioral Health | 1205 Baytree Rd Ste 8, Valdosta, GA 31602-2782 | 2012-04-04 |
| 1447488929 | Gregory E. Pye, Ph.d, PC | Community/Behavioral Health | 1810 Plum St, Suite F, Valdosta, GA 31601-7529 | 2009-06-23 |
| 1578703385 | Pathway To Hope Counseling Services, Inc. | Community/Behavioral Health | 1341 W Hill Ave, Valdosta, GA 31601-5235 | 2009-03-06 |
| 1104027374 | Employment Matters, Inc | Community/Behavioral Health | 704 Pineview Dr, Valdosta, GA 31602-1925 | 2007-05-29 |
| 1841328960 | Choices for Life of Georgia, LLC | Community/Behavioral Health | 2200 N Patterson Street, Suite D, Valdosta, GA 31602-2573 | 2007-03-01 |
| 1114483658 | Legacy Counseling and Consulting, LLC | Community/Behavioral Health | 3790 Old Us 41 N Ste A, Valdosta, GA 31602-6865 | 2019-02-19 |
| Find all providers in VALDOSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.