MEDICARE: DE'VINE INFINITY THERAPEUTIC SERVICES, PLLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1760339782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DE'VINE INFINITY THERAPEUTIC SERVICES, PLLC

Provider Business Mailing Address
First Line	:	632 OLD WILMINGTON RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-6401
Country	:	US
Telephone Number	:	910-273-2013
Fax Number	:

Provider Business Practice Location Address
First Line	:	632 OLD WILMINGTON RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-6401
Country	:	US
Telephone Number	:	910-273-2013
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DEMETRIA CHERI MURPHY
Credential	:	LCSW-A, LCSA-A
Telephone Number	:	910-273-2013

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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