# DIVINE TRANSITIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023827854
- **Authorized official:** HOLLY WIGGS (MEDICAL BILLING SPECIALIST)
- **Authorized official phone:** (765) 760-3500

## Contact information

- **Practice address:** 131 NAHM ST STE 9, PADUCAH, KY 42001-4362
- **Practice address phone:** (270) 625-5005
- **Practice address fax:** (270) 713-0638
- **Mailing address:** 131 NAHM ST STE 9, PADUCAH, KY 42001-4362
- **Mailing address phone:** (270) 625-5005
- **Mailing address fax:** (270) 713-0638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 01/06/2025