# D'VINE THERAPEUTIC SERVICES, INC.

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

## Provider details

- **NPI number:** 1891118055
- **Authorized official:** YOLLE-GUIDA DERVIL LMFT (FOUNDER/CEO)
- **Authorized official phone:** (954) 682-7903

## Contact information

- **Practice address:** 3900 W COMMERCIAL BLVD, SUITE 232, TAMARAC, FL 33309-3328
- **Practice address phone:** (954) 682-7903
- **Practice address fax:** (786) 497-3863
- **Mailing address:** 3900 W COMMERCIAL BLVD, SUITE 232, TAMARAC, FL 33309-3328
- **Mailing address phone:** (954) 682-7903
- **Mailing address fax:** (786) 497-3863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT 2648 | FL | Yes |

## Other

- **Enumeration date:** 01/23/2014
- **Last updated:** 01/23/2014