Divine Healing Space, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DIVINE HEALING SPACE, PLLC

Practice address

12222 Merit Dr # 130
Dallas, TX 75251-2217

Phone

(504) 410-0031

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Jasmine Battles, LCSWNPI 1003492448

Title

Owner/ Clinical Social Worker

Phone

(504) 410-0031

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jasmine Battles, LCSW

  • Clinical Social Worker
  • Forney, TX
  • NPI 1003492448
  NPD Authorized official

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1417521907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR # 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512217",
            "telephone_number": "504-410-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR # 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512217",
            "telephone_number": "504-410-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALING SPACE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "BATTLES",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER/ CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "504-410-0031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "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": []
}

• Diverge and Bloom Counseling, PLLC
• Diversicare Doctors LLC (Diversicare of Lake Highlands)
• Diversicare Treemont LLC (Treemont Healthcare and Rehabilitation Center)
• Divine Behavioral Health Clinic PLLC
• Divine Care Hospice LLC
• Divine Healing Supplies
• Divine Medical Equipment, Inc
• Divine Medical Supply and Equipments LLC
• Divine Mercy Hospice, PLLC (Envoy Hospice)
• Laura Michelle Divine, M.D.

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.