Organization
DIVINE INTERVENTIONS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASITY DAVIS (OWNER/PRESIDENT)
(769) 300-1012
Entity
Organization
Contact information
Practice address
10 CANEBRAKE BLVD STE 110-17, FLOWOOD, MS 39232-2211
(769) 300-1012
(844) 444-0779
Mailing address
10 CANEBRAKE BLVD STE 110-17, FLOWOOD, MS 39232-2211
(769) 300-1012
(844) 444-0779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/24/2020
Last updated
10/12/2022
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