Divine Team Behavioral Health Care Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DIVINE TEAM BEHAVIORAL HEALTH CARE INC

Practice address

2481 Hurt Rd SW Ste C
Marietta, GA 30008-6029

Phone

(678) 305-9937

NPI assigned

Aug 23, 2023

Organization subpart

No

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

Authorized official

Name

Linda Hosten

Title

Manager

Phone

(678) 305-9937

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Blessing Anyaiwe Onyekachi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1669021036

  Single Specialty

  NPD

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1467236083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 HURT RD SW STE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086029",
            "telephone_number": "678-305-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 HURT RD SW STE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086029",
            "telephone_number": "678-305-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TEAM BEHAVIORAL HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "HOSTEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-305-9937"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Annikki Dits-Rinta-Koski, RN, MSN, AGNP-C
• Manasi Divan, MSW, RD LD
• Diversified Diagnostics, Inc
• Divine Psychology, LLC
• Divine Realign Chiropractic
• Alexandra Graham Dixon, M.S., LPC, NCC
• Hallea Dixon, RN
• Jia Dixon
• Jodi Dixon, DC
• Kisha A Dixon, LPC NCC

• Multi-Specialty Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.