Your Divine Journey, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YOUR DIVINE JOURNEY, LLC

Practice address

9655 Baltimore Ave
Laurel, MD 20723-1863

Phone

(443) 733-4904

Fax

(443) 464-1148

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Bridget Butts, LCSW-C

Title

Clinical Social Worker/Founder

Phone

(443) 733-4904

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1457007734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SCHOOLHOUSE LN",
            "city": "WINDSOR",
            "state": "PA",
            "postal_code": "173669611",
            "telephone_number": "443-733-4904",
            "fax_number": "443-464-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231863",
            "telephone_number": "443-733-4904",
            "fax_number": "443-464-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DIVINE JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/FOUNDER",
        "authorized_official_telephone_number": "443-733-4904",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura E. You, M.D.
• Shelley D Young-Watson, LGPC
• Fredrick Young
• Hannah Kathryn Young, OTR/L
• Marissa Young, CCC-SLP
• Nora Yousef, MD
• Margaret Fri Youtcha, HHA
• Christina M Yuan, M.D.
• Vanessa Yumbonwi
• Abioye Yusuf

• Community/Behavioral Health Agency in Laurel, MD
• Providers in Laurel, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.