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Organization

DIVINE PATHWAYS LLC

Active
Other names
Divine Pathways LLC
Organization subpart
No

Provider details

NPI number
Authorized official
SHANE HANSEN M.ED (OWNER/EXECUTIVE DIRECTOR)
(606) 875-0812
Entity
Organization

Contact information

Practice address
428 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 875-0812
Mailing address
263 WIND CHIME DR, SOMERSET, KY 42503-3821
(606) 875-0812

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/14/2022
Last updated
09/14/2022
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