# DIVINE MENTAL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1366022659
- **Authorized official:** AGATHA NWANGWU NP (FOUNDER)
- **Authorized official phone:** (301) 996-1230

## Contact information

- **Practice address:** 7406 9TH ST NW, WASHINGTON, DC 20012-1702
- **Practice address phone:** (301) 996-1230
- **Mailing address:** 7406 9TH ST NW, WASHINGTON, DC 20012-1702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2021
- **Last updated:** 09/17/2021