Healthcare Provider Details
I. General information
NPI: 1285558585
Provider Name (Legal Business Name): DIVINE INCLINATION PSYCHOTHERAPY AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1870 THE EXCHANGE SE STE 200
ATLANTA GA
30339-2021
US
IV. Provider business mailing address
1870 THE EXCHANGE SE SUITE 200 #3020
ATLANTA GA
30339
US
V. Phone/Fax
- Phone: 678-466-9555
- Fax:
- Phone: 678-466-9555
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHAKERA
HAWKINS
Title or Position: MANAGING MEMBER
Credential: LMFT
Phone: 678-466-9555