# DIVINE BEHAVIORAL HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1619563186
- **Authorized official:** JANE NWANKWOOKOYE ARNP (CEO)
- **Authorized official phone:** (206) 290-3172

## Contact information

- **Practice address:** 340 MORRIS AVE S, RENTON, WA 98057-2521
- **Practice address phone:** (206) 290-7385
- **Mailing address:** 720 N 10TH ST STE A399, RENTON, WA 98057-5683
- **Mailing address phone:** (206) 290-7385

## Taxonomy

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

## Other

- **Enumeration date:** 12/17/2020
- **Last updated:** 10/14/2025