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General NPI Number Information
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NPI Number | 1518743293
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Entity Type | Organization
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Legal Business Name | DIVINE DISCUSSIONS, LLC
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 15393 SHADE RD
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City | GUYSVILLE
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State | OH
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Zip | 45735-7503
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Country | US
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Telephone | 740-214-6108
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Fax |
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Provider Business Mailing Address
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Address Line | 15393 SHADE RD
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City | GUYSVILLE
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State | OH
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Zip | 45735-7503
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST / OWNER
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Name | KATRINA DIVINE
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Credential | LPCC
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Telephone | 530-205-8302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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