Divine Life Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE LIFE SERVICES LLC

Practice address

1206 Laskin Rd Ste 140a
Virginia Beach, VA 23451-5267

Phone

(757) 630-5459

NPI assigned

Jul 19, 2022

Organization subpart

No

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

Authorized official

Name

Sherrry D Williams

Title

Ceo

Phone

(757) 630-5459

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1164157749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 LASKIN RD STE 140A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515267",
            "telephone_number": "757-630-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 LASKIN RD STE 140A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515267",
            "telephone_number": "757-630-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHERRRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-630-5459"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel I. Dison, M.D.
• Divas, Inc
• Diversified Strategies, LLC (Compassionate Care Consumer Services)
• Divine Heart Supportive Community Services LLC (Divine Heart SCS LLC)
• Divine House, LLC
• Divine Works
• Divinefavor LLC
• Divinely Chaotic Wellness
• Ashley Paige Dixon, RDH
• Wendy Dixon

• Community/Behavioral Health Agency in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.