Divinely Me Holistic Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINELY ME HOLISTIC CENTER

Practice address

12840 S Kirkwood Rd Apt 126
Stafford, TX 77477-3829

Phone

(832) 777-3892

NPI assigned

May 14, 2020

Organization subpart

No

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

Authorized official

Name

Ebony Johnson

Title

Administrator

Phone

(832) 777-3892

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1245852177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 S KIRKWOOD RD APT 126",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 S KIRKWOOD RD APT 126",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773829",
            "telephone_number": "832-777-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINELY ME HOLISTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-777-3892"
    },
    "taxonomies": [
        {
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejohnson@divinelyme.com",
            "affiliation": "N",
            "endpointDescription": "secure work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12840 S Kirkwood Rd Apt 126",
            "city": "Stafford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774773829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Briana Dimes
• Anh Kim Dinh, NP-C
• Nhu Quynh Dinh, RN
• Divine Covenant Healthcare Inc.
• Divine Surgical Services LLC
• Divinetouch Health Services Inc
• Jessica Lovie Dixon
• DN Palliative Hospice LLC
• Nasheel Dodhiya
• Breasheia Marie Dominick

• Community/Behavioral Health Agency in Stafford, TX
• Providers in Stafford, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.