Divine Wellness

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

DIVINE WELLNESS

Practice address

3469 Lawrenceville Hwy Ste 201
Tucker, GA 30084-5866

Phone

(404) 729-0637

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Erma Mincey, NMT, LMT

Title

Licensed Massage Therapist

Phone

(404) 729-0637

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1568092799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 LAWRENCEVILLE HWY STE 201",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845866",
            "telephone_number": "404-729-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 LAWRENCEVILLE HWY STE 201",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845866",
            "telephone_number": "404-729-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "MINCEY",
        "authorized_official_first_name": "ERMA",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "404-729-0637",
        "authorized_official_credential": "NMT, LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Dewitt
• Thomas J Difulco, M.D.
• Discreet, Nemt Service Providers
• Discreet, Nemt Service Providers, LLC (Discreet, Nemt Service Providers Network)
• Divine Guardian LLC
• Allison Dixon, LMSW
• Stephanie Dixon, M.S. CCC-SLP
• Ashley Dolphus, PHARMD
• S Domingo, LMT
• Donald H. Bohne, DDS, PA

• Massage Therapist in Tucker, GA
• Providers in Tucker, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.