Organization
DIVINE SHYNE THERAPY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMALA RENEE VAUGHN LSW (OWNER)
(316) 210-7914
Entity
Organization
Contact information
Practice address
2000 S COLORADO BLVD, TOWER 1, SUITE 2000-520, DENVER, CO 80222-0000
(720) 392-9846
(720) 392-9846
Mailing address
PO BOX 31614, AURORA, CO 80041-0614
(316) 210-7914
(720) 392-9846
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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