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Organization

DIVINE HEALING BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARMAINE STITH (MANAGER)
(225) 993-1535
Entity
Organization

Contact information

Practice address
3900 LAKELAND DR STE 200, FLOWOOD, MS 39232-8853
(225) 993-1535
Mailing address
2944 RAY WEILAND DR, BAKER, LA 70714-3250
(225) 993-1535

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
08/26/2025
Last updated
08/26/2025
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