Organization
DIVENTI COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA ROYAL MA, LPC, CPCS, CCM (OWNER/THERAPIST)
(678) 532-7415
Entity
Organization
Contact information
Practice address
2146 CLARK ST SW, COVINGTON, GA 30014-2231
(678) 532-7415
Mailing address
35 CROSSBILL TRL, COVINGTON, GA 30014-7658
(513) 225-0279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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