Organization · Type 2 NPI
Divine Encounta Health Services LLC
Psychiatric/Mental Health Nurse Practitioner · Loganville, GA
NPI number
1629977301
Active
Practice location
339 Blue Juniper Cir
Loganville, GA 30052-6539
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 1629977301
Divine Encounta Health Services LLC's National Provider Identifier is 1629977301, issued on Nov 2, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Loganville, GA. The record was last updated on Nov 2, 2026.