Organization
DIVINE CARE SERVICES
Active
Other names
Divine Health/Access
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE MASSEY (CEO)
(225) 772-4950
Entity
Organization
Contact information
Practice address
2126 S EDWARD AVE, GONZALES, LA 70737-3705
(225) 772-4950
Mailing address
PO BOX 2006, GONZALES, LA 70707-2006
(225) 772-4950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
LA
101YP1600X
Pastoral Counselor
—
LA
101YP2500X
Professional Counselor
—
LA
136A00000X
Registered Dietetic Technician
—
LA
163W00000X
Registered Nurse
—
LA
164W00000X
Licensed Practical Nurse
—
LA
171M00000X
Case Manager/Care Coordinator
—
LA
172V00000X
Community Health Worker
Primary
—
LA
252Y00000X
Early Intervention Provider Agency
—
LA
Other
Enumeration date
03/10/2008
Last updated
08/21/2009
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