Active NPI
Divine Revelations Ministries, Inc.
- Health & Wellness Coach
- Tallahassee, FL
National Provider Identifier
1336947415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Legal business name
- DIVINE REVELATIONS MINISTRIES, INC.
- Practice address
- 300 W Pensacola St FL 3
Tallahassee, FL 32301-1618 - Phone
- (877) 572-3399
- Fax
- (877) 572-3399
- NPI assigned
- Mar 5, 2025
- Last updated
- Mar 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernice McMillan, MBA, CLC
- Title
- Co-Founder/Executive Director
- Phone
- (877) 572-3399
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Health & Wellness Coach | 171400000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
300 W Pensacola St FL 3
Tallahassee, FL 32301-1618
Mailing address
PO Box 3670
Tallahassee, FL 32315-3670
Phone (877) 572-3399
National Provider Directory
National Provider DirectoryLocations
300 W Pensacola St
Fl 3
Tallahassee, FL 32301
Phone (877) 572-3399
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pastoral Counselor
- Tallahassee, FL
- NPI 1912705070
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1336947415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3670",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323153670",
"telephone_number": "877-572-3399",
"fax_number": "877-572-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W PENSACOLA ST FL 3",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323011618",
"telephone_number": "877-572-3399",
"fax_number": "877-572-3399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE REVELATIONS MINISTRIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "MCMILLAN",
"authorized_official_first_name": "BERNICE",
"authorized_official_title_or_position": "CO-FOUNDER/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "877-572-3399",
"authorized_official_credential": "MBA, CLC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.