Organization
DIVINELY COACHED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRESS HICKS (CEO/FOUNDER)
(757) 537-0275
Entity
Organization
Contact information
Practice address
328 CEDAR ST, SUFFOLK, VA 23434-4724
(757) 537-0275
Mailing address
328 CEDAR ST, SUFFOLK, VA 23434-4724
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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