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Organization

DIVINE DIRECTION ONLINE

Active
Other names
DDO
Organization subpart
No

Provider details

NPI number
Authorized official
DONOVAN D. DAVIS (PRESIDENT)
(407) 448-3665
Entity
Organization

Contact information

Practice address
3817 WHITE HERON DR, ORLANDO, FL 32808-2605
(407) 448-3665
Mailing address
3817 WHITE HERON DR, ORLANDO, FL 32808-2605
(407) 655-7402

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/12/2020
Last updated
10/29/2020
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