Active NPI
Davine Counseling Center, LLC
- Mental Health Counselor
- Cantonment, FL
National Provider Identifier
1073186367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DAVINE COUNSELING CENTER, LLC
- Practice address
- 893 Jacobs Way
Cantonment, FL 32533-8198 - Phone
- (251) 222-8729
- NPI assigned
- Jul 23, 2021
- Organization subpart
- No
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Daphne, AL
- NPI 1497584403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240418004203 | AL | Part B Supplier - Clinic/Group Practice | 4284073552 |
Receives reassigned benefits from 3 practitioners Practice locations: Daphne, AL |
National Provider Directory
National Provider DirectoryLocations
28851 N Main St
Ste B
Daphne, AL 36526
Phone (251) 615-1233
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tonya Hillman, LPC-S
- Title
- License Professional Counselor
- Phone
- (573) 433-0587
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
893 Jacobs Way
Cantonment, FL 32533-8198
Mailing address
28851 N Main St Ste B
Daphne, AL 36526-7273
Phone (251) 615-1233
NPI Registry JSON
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644451200000",
"number": "1073186367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28851 N MAIN ST STE B",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267273",
"telephone_number": "251-615-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "893 JACOBS WAY",
"city": "CANTONMENT",
"state": "FL",
"postal_code": "325338198",
"telephone_number": "251-222-8729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVINE COUNSELING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-23",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A",
"authorized_official_last_name": "HILLMAN",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "573-433-0587",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC-S"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cantonment, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.