Organization · Type 2 NPI
Divine Behavioral Health Services LLC
Psychiatric/Mental Health Nurse Practitioner · Renton, WA
NPI number
1619563186
Active
Practice location
340 Morris Ave S
Renton, WA 98057-2521
Mailing address
720 N 10th St Ste A399
Renton, WA 98057-5683
Other practice locations
- 212 Wells Ave S Ste B, Renton, WA 98057-2142 · (206) 730-4404
- 720 N 10th St Ste A399, Renton, WA 98057-5683 · (206) 290-7385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
5 other providers at this address
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- Willow Tree Counseling, P.s.Clinical Psychologist Renton, WA NPI 1205159332
- Jacquelyn B. Baker, LMHCCounselor Renton, WA NPI 1215452990
- Launi Ann Treece, PhDClinical Psychologist Renton, WA NPI 1649261157
- Linda Lorraine Hansen, DDSGeneral Practice Dentistry Renton, WA NPI 1790857225
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About NPI 1619563186
Divine Behavioral Health Services LLC's National Provider Identifier is 1619563186, issued on Dec 17, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Renton, WA. The record was last updated on Oct 14, 2025.