Organization Active NPI

Divine Recovery Solutions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Chesterfield, VA
National Provider Identifier
1598537458
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DIVINE RECOVERY SOLUTIONS LLC
Practice address
101 Buford Rd Ste 203a
North Chesterfield, VA 23235-5292
Phone
(434) 430-1912
NPI assigned
Oct 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Casandra Miller
Title
Member/Ceo
Phone
(434) 430-1912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

101 Buford Rd Ste 203a
North Chesterfield, VA 23235-5292

Mailing address

607 Church St
Emporia, VA 23847-2208
Phone (434) 430-1912

National Provider Directory

National Provider Directory

Locations

101 Buford Rd
Ste 203A
North Chesterfield, VA 23235
Phone (434) 430-1912

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1598537458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 CHURCH ST",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238472208",
            "telephone_number": "434-430-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BUFORD RD STE 203A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355292",
            "telephone_number": "434-430-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE RECOVERY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_title_or_position": "MEMBER/CEO",
        "authorized_official_telephone_number": "434-430-1912"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.