Organization · Type 2 NPI

Divine Interventional Psychiatry PLLC

Psychiatric/Mental Health Nurse Practitioner · Goodyear, AZ

NPI number 1548109366 Active

Practice location

1360 N Bullard Ave Ste 200
Goodyear, AZ 85395-2744

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

5 other providers at this address

Quality Mental Health Services QMHS LLCMental Health Clinic/Center (Including Community Mental Health Center) Goodyear, AZ NPI 1770201113
Althein L. Nicholson, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Goodyear, AZ NPI 1336884519
Julie Marie Kent-PartridgeSocial Worker Goodyear, AZ NPI 1144195975
Karlton E. Nicholson I, PMHMPPsychiatric/Mental Health Nurse Practitioner Goodyear, AZ NPI 1225513138
Sarah Ellen Kircher, LMSWClinical Social Worker Goodyear, AZ NPI 1740812650

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About NPI 1548109366

Divine Interventional Psychiatry PLLC's National Provider Identifier is 1548109366, issued on Mar 26, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Goodyear, AZ. The record was last updated on Mar 26, 2026.