Organization · Type 2 NPI
Divine Mental Healthcare Services LLC
Psychiatric/Mental Health Nurse Practitioner · El Paso, TX
NPI number
1205616679
Active
Practice location
1900 N Mesa St Ste C
El Paso, TX 79902-3309
Mailing address
1504 Petaya Ln
El Paso, TX 79912-8497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1205616679
Divine Mental Healthcare Services LLC's National Provider Identifier is 1205616679, issued on Oct 3, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in El Paso, TX. The record was last updated on Oct 27, 2023.