Divine Life Therapeutic Solutions LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DIVINE LIFE THERAPEUTIC SOLUTIONS LLC.

Practice address

800 Compton Rd Ste 37B-6
Cincinnati, OH 45231-3826

Phone

(513) 445-2053

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Ebony Peak, MSW, LISW-SNPI 1780219477

Title

Therapist

Phone

(513) 238-0761

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.

• Ebony Peak, LISW

  • Clinical Social Worker
  • Cincinnati, OH
  • NPI 1780219477
  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1548023906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 STEVENS AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314222",
            "telephone_number": "513-238-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMPTON RD STE 37B-6",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313826",
            "telephone_number": "513-445-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LIFE THERAPEUTIC SOLUTIONS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "PEAK",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "513-238-0761",
        "authorized_official_credential": "MSW, LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Destiny Home Health Care Agency LLC
• Divine Destiny Home Health Care Agency LLC
• Divine Hearts Care Services Inc
• Divine Home Health Services LLC
• Divine Images
• Divine Rose Care LLC
• Divine Touch Home Care LLC
• Jon G Divine, M.D.
• Dakota Dix
• Douglas A Dix, D.D.S.

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.