NPIMap

Organization Active NPI

Divinity Youth and Family Services

  • Case Management Agency
  • Cedar Hill, TX
National Provider Identifier
1578878427
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
52756 Issued in TX
Legal business name
DIVINITY YOUTH AND FAMILY SERVICES
Practice address
108 Cambridge Dr
Cedar Hill, TX 75104-2716
Phone
(469) 245-9640
Fax
(972) 291-1342
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Lola M Garrett-Spears, LBSWNPI 1669791141
Title
Founder
Phone
(469) 245-9640

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Case Management Agency 251B00000X 52756 TX Primary

Addresses

Primary practice location

108 Cambridge Dr
Cedar Hill, TX 75104-2716

Mailing address

108 Cambridge Dr
Cedar Hill, TX 75104-2716
Phone (469) 245-9640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1578878427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CAMBRIDGE DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042716",
            "telephone_number": "469-245-9640",
            "fax_number": "972-291-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CAMBRIDGE DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042716",
            "telephone_number": "469-245-9640",
            "fax_number": "972-291-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "GARRETT-SPEARS",
        "authorized_official_first_name": "LOLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "469-245-9640",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "52756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.