Divine Residential Services, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

DIVINE RESIDENTIAL SERVICES, LLC

Practice address

2101 Proper St
Corinth, MS 38834-5247

Phone

(225) 810-0261

NPI assigned

Nov 26, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Lavar Triggs, MBANPI 1174977565

Title

Administrator

Phone

(225) 810-0261

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brandon Triggs

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1174977565
  NPD Authorized official

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1619793445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18519 LOCH BEND AVE",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PROPER ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345247",
            "telephone_number": "225-810-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "TRIGGS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LAVAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-810-0261",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Arts of Corinth
• Malorie Devaughn, ACNPC-AG
• Alyson Lee Dickerson, CRNA
• Bradley Dillon, NP
• Marty Dilworth, RPH
• Traci Dobbs
• Dodd Eye Clinic P. C.
• Henry Hilton Dodd, M.D.
• John D Dodd, OD
• Nixon D Dodd, O.D.

• Psychiatric Residential Treatment Facility in Corinth, MS
• Providers in Corinth, MS by specialty
• Psychiatric Residential Treatment Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.