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Organization
DIVINE COUNSELING LLC
Active
Organization
DIVINE COUNSELING LLC
Active
Parent organization
DIVINE COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE COUNSELING LLC
Authorized official
CARA ASHLEY RAQUEL BALTIMORE (CEO)
(443) 202-1377
Entity
Organization
Contact information
Practice address
90 PAINTERS MILL RD STE 136, OWINGS MILLS, MD 21117-3610
(443) 955-2662
Mailing address
1829 REISTERSTOWN RD STE 350, PIKESVILLE, MD 21208-7126
(443) 955-2662
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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