Organization Active NPI

Divine Touch Behavioral Health Services

  • Community/Behavioral Health Agency
  • Valdosta, GA
National Provider Identifier
1144057027
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIVINE TOUCH BEHAVIORAL HEALTH SERVICES
Practice address
3757 Johnston Rd
Valdosta, GA 31601-2105
Phone
(229) 460-5248
Fax
(229) 559-7760
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kenneth Bryan Holton
Title
Managing Partner
Phone
(229) 559-5944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3757 Johnston Rd
Valdosta, GA 31601-2105

Mailing address

3757 Johnston Rd
Valdosta, GA 31601-2105
Phone (229) 460-5248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260116003527 GA Part B Supplier - Clinic/Group Practice 6901393537 Receives reassigned benefits from 1 practitioner
Practice locations: Valdosta, GA

National Provider Directory

National Provider Directory

Locations

3757 Johnston Rd
Valdosta, GA 31601
Phone (229) 559-5944

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1144057027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 JOHNSTON RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316012105",
            "telephone_number": "229-460-5248",
            "fax_number": "229-559-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 JOHNSTON RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316012105",
            "telephone_number": "229-460-5248",
            "fax_number": "229-559-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TOUCH BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "229-559-5944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.

Verify at the official NPI Registry.