Divine 5 Services LLP

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE 5 SERVICES LLP

Practice address

155 Bankers Blvd Ste G100
Monroe, GA 30655-7727

Phone

(404) 274-1378

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Elante Harris, CEO

Title

President

Phone

(404) 274-1378

Specialties & licenses 7

Addresses

Other names 1

• Divine 5 Services LLP Former legal business name

Locations

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1225700073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BANKERS BLVD STE G100",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306557727",
            "telephone_number": "404-274-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BANKERS BLVD STE G100",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306557727",
            "telephone_number": "404-274-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE 5 SERVICES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ELANTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-274-1378",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine 5 Services LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Destiney Dempsey, LMSW
• Joe H Dew, OD
• Susan Elizabeth Dexter, NURSE PRACTITIONER
• Natasha A Dhannani
• Kelly Nicole Dickerson, LCSW
• Divine 5 Services, LLC
• Valerie Paige Doebrick Wilkinson, L.M.T.
• Maggie Dotson, NP
• Kayla S Dowling, DC
• Dr Siruvella MD PC

• Community/Behavioral Health Agency in Monroe, GA
• Providers in Monroe, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.