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Organization
DIVINE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
DIVINE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE NWANKWOOKOYE ARNP (CEO)
(206) 290-3172
Entity
Organization
Contact information
Practice address
340 MORRIS AVE S, RENTON, WA 98057-2521
(206) 290-7385
Mailing address
720 N 10TH ST STE A399, RENTON, WA 98057-5683
(206) 290-7385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
10/14/2025
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