Organization
DIVINE COUNSELING LLC
Active
Parent organization
DIVINE COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE COUNSELING LLC
Authorized official
KATRINA LOCKETT (CFO)
(443) 796-5089
Entity
Organization
Contact information
Practice address
90 PAINTERS MILL RD STE 135&136, OWINGS MILLS, MD 21117-3630
(443) 955-2662
Mailing address
1829 REISTERSTOWN RD STE 350, PIKESVILLE, MD 21208-7126
(443) 955-2662
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/26/2023
Last updated
08/03/2024
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