# DIVINE COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIVINE COUNSELING LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649951955
- **Legal business name:** DIVINE COUNSELING LLC
- **Authorized official:** CARA ASHLEY RAQUEL BALTIMORE (CEO)
- **Authorized official phone:** (443) 202-1377

## Contact information

- **Practice address:** 90 PAINTERS MILL RD STE 136, OWINGS MILLS, MD 21117-3610
- **Practice address phone:** (443) 955-2662
- **Mailing address:** 1829 REISTERSTOWN RD STE 350, PIKESVILLE, MD 21208-7126
- **Mailing address phone:** (443) 955-2662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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) | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/28/2023
- **Last updated:** 07/28/2023
