Organization
DIVINE YOUTH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E'MON ARNA AMBERS (CEO)
(804) 833-7674
Entity
Organization
Contact information
Practice address
3112 MACALLAN PKWY, HENRICO, VA 23231-7274
(804) 833-7674
Mailing address
3112 MACALLAN PKWY, HENRICO, VA 23231-7274
(804) 833-7674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/26/2020
Last updated
05/06/2025
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