Active NPI
Divine Mind Consultation Services
- Professional Counselor
- Grand Ledge, MI
National Provider Identifier
1508604356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- DIVINE MIND CONSULTATION SERVICES
- Practice address
- 11256 Stoney Brook Dr
Grand Ledge, MI 48837-9154 - Phone
- (517) 343-1106
- NPI assigned
- Jul 16, 2024
- 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
- Quiana Davis, LPC
- Title
- LPC
- Phone
- (517) 626-4067
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
11256 Stoney Brook Dr
Grand Ledge, MI 48837-9154
Mailing address
11256 Stoney Brook Dr
Grand Ledge, MI 48837-9154
Phone (517) 343-1106
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Lansing, MI
- NPI 1952943565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1508604356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11256 STONEY BROOK DR",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488379154",
"telephone_number": "517-343-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11256 STONEY BROOK DR",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488379154",
"telephone_number": "517-343-1106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE MIND CONSULTATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-16",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "QUIANA",
"authorized_official_title_or_position": "LPC",
"authorized_official_telephone_number": "517-626-4067",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Ledge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.