Organization
DEVINE INTERVENTIONS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY JAMES DEVINE MA (LPC)
(267) 428-0321
Entity
Organization
Contact information
Practice address
6757 GREENE STREET, OFFICES AT SUMMIT PREBYTERIAN, SUITE 200-C, PHILADELPHIA, PA 19119-3711
(855) 410-8120
(215) 874-8897
Mailing address
6757 GREENE STREET, OFFICES AT SUMMIT PREBYTERIAN, SUITE 200-C, PHILADELPHIA, PA 19119-3711
(855) 410-8120
(215) 874-8897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC007555
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC007555
LICENCE
PA
Enumeration date
05/04/2017
Last updated
08/27/2024
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