Organization
DIVINE DESIGN PSYCHIATRY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SEVERADO FNP/PMHNP (NURSE PRACTITIONER/OWNER)
(217) 816-7928
Entity
Organization
Contact information
Practice address
853 CHESAPEAKE JUNCTION LN, O FALLON, IL 62269-7035
(217) 816-7928
(616) 208-2675
Mailing address
853 CHESAPEAKE JUNCTION LN, O FALLON, IL 62269-7035
(217) 816-7928
(616) 208-2675
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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