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Organization

DIVINE INTERVENTIONS COUNSELING CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANET ELEANORE YANKOSKY LCSW (LICENSED CLINICAL SOCIAL WORKER)
(252) 245-2048
Entity
Organization

Contact information

Practice address
3704 TRACE DR W, WILSON, NC 27893-8347
(252) 245-2048
(888) 634-1369
Mailing address
P.O. BOX 3001, WILSON, NC 27895-3001
(252) 234-2048
(252) 234-2047

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004270
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1379H
BCBS PROVIDER NUMBER
NC
01
2113388
CIGNA PROVIDER NUMBER
NC
Enumeration date
12/06/2006
Last updated
03/26/2025
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