# DIVINE INTERVENTIONS BEHAVIORAL HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942813597
- **Authorized official:** CHASITY DAVIS (OWNER/PRESIDENT)
- **Authorized official phone:** (769) 300-1012

## Contact information

- **Practice address:** 10 CANEBRAKE BLVD STE 110-17, FLOWOOD, MS 39232-2211
- **Practice address phone:** (769) 300-1012
- **Practice address fax:** (844) 444-0779
- **Mailing address:** PO BOX 821878, VICKSBURG, MS 39182-1878
- **Mailing address phone:** (769) 203-8141
- **Mailing address fax:** (844) 444-0779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/24/2020
- **Last updated:** 05/28/2026