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NPI Code Detail

MEDICARE: DIVINE COUNSELING SERVICE, LLC

MEDICARE: DIVINE COUNSELING SERVICE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2101YM0800XMental Health Counselor
3251S00000XCommunity/Behavioral Health Agency
4261QA0600XAdult Day Care Clinic/Center
5261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
6261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1609573518
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIVINE COUNSELING SERVICE, LLC
Provider Business Mailing Address
First Line : 6201 BONHOMME RD STE 174N
Second Line :
City : HOUSTON
State : TX
Zip : 77036-4367
Country : US
Telephone Number : 832-864-3347
Fax Number :
Provider Business Practice Location Address
First Line : 6201 BONHOMME RD STE 174N
Second Line :
City : HOUSTON
State : TX
Zip : 77036-4367
Country : US
Telephone Number : 832-864-3347
Fax Number :
Authorized Official
Title or Position : OWNER, CLINICAL DIRECTOR
Name : MRS. CRYSTAL ALEXIA JEFFREY
Credential : LCDC, MAC, SAP, QCC
Telephone Number : 832-338-6350
Provider Enumeration Date : 02/10/2023
Last Update Date : 08/16/2025

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Directions to “DIVINE COUNSELING SERVICE, LLC ” Practice Location

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