# DIVINE YOUTH GUIDANCE LLC

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

## Provider details

- **NPI number:** 1659129088
- **Authorized official:** JULISSA ROWE (OWNER)
- **Authorized official phone:** (210) 717-4999

## Contact information

- **Practice address:** 3700 FREDERICKSBURG RD STE 108, SAN ANTONIO, TX 78201-3266
- **Practice address phone:** (210) 717-4999
- **Mailing address:** 3700 FREDERICKSBURG RD STE 108, SAN ANTONIO, TX 78201-3266
- **Mailing address phone:** (210) 717-4999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/09/2024
- **Last updated:** 07/28/2026