Organization · Type 2 NPI
Divine Life LLC
Mental Health Counselor · Elk River, MN
NPI number
1992538052
Active
Practice location
506 Freeport Ave NW
Elk River, MN 55330-4611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1992538052
Divine Life LLC's National Provider Identifier is 1992538052, issued on Aug 23, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elk River, MN. The record was last updated on Aug 23, 2024.