Organization
DIVINE PURPOSE SERVICES LIMITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY N USSERY (OWNER)
(704) 300-5544
Entity
Organization
Contact information
Practice address
810 W DIXON BLVD STE 2, SHELBY, NC 28152-5103
(704) 300-5544
(704) 270-9504
Mailing address
3201 PIKES PEAK DR, GASTONIA, NC 28052-5441
(704) 300-5544
(704) 270-9504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NC
171M00000X
Case Manager/Care Coordinator
—
—
207R00000X
Internal Medicine Physician
—
NC
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
NC
05
—
90050524
—
SC
Enumeration date
03/06/2012
Last updated
01/22/2026
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