Divine Purpose

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0701005361 Issued in VA

Legal business name

DIVINE PURPOSE

Practice address

24816 Brickwood Meadow LN
North Dinwiddie, VA 23803-8869

Phone

(804) 520-1366

NPI assigned

Sep 11, 2014

Organization subpart

No

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

Authorized official

Name

Vernita Kaye Ellis

Title

License Professional Counselor

Phone

(804) 520-1366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1437550217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17305 GATEWOOD RD",
            "city": "DINWIDDIE",
            "state": "VA",
            "postal_code": "238412619",
            "telephone_number": "804-520-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24816 BRICKWOOD MEADOW LN",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238038869",
            "telephone_number": "804-520-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PURPOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "VERNITA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "804-520-1366"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701005361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in North Dinwiddie, VA
• Providers in North Dinwiddie, 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 Sep 11, 2014; 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.