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Organization

DIVINE MINDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TENISHA SMITH (CEO)
(434) 429-7780
Entity
Organization

Contact information

Practice address
13701 US HIGHWAY 29 STE 3, CHATHAM, VA 24531-3611
(434) 429-7780
(434) 433-2063
Mailing address
13701 US HIGHWAY 29 STE 3, CHATHAM, VA 24531-3611
(434) 429-7780
(434) 433-2063

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/29/2023
Last updated
06/05/2024
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