Organization · Type 2 NPI
Divine Health Psychotherapy LLC
Psychiatric/Mental Health Nurse Practitioner · Long Beach, CA
NPI number
1609736933
Active
Practice location
3780 Kilroy Airport Way Ste 200
Long Beach, CA 90806-2458
Mailing address
11728 205th St Unit 3
Lakewood, CA 90715-3401
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 1609736933
Divine Health Psychotherapy LLC's National Provider Identifier is 1609736933, issued on Nov 18, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Long Beach, CA. The record was last updated on Jan 5, 2026.