Divine Touch Therapeutic Counseling and Mentoring Services,, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE TOUCH THERAPEUTIC COUNSELING AND MENTORING SERVICES,, LLC

Practice address

768 Duvall Hwy
Pasadena, MD 21122-1620

Phone

(240) 481-9962

NPI assigned

Feb 18, 2017

Organization subpart

No

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

Authorized official

Name

Boladale Wuraola Adegoroye, M.A, LCPCNPI 1790174506

Title

Therapist

Phone

(240) 481-9962

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Boladale Wuraola Adegoroye

  • Professional Counselor
  • Pasadena, MD
  • NPI 1790174506
  NPD (past) Authorized official

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

{
    "created_epoch": "1487376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487376000000",
    "number": "1669911038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211230444",
            "telephone_number": "240-481-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 DUVALL HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221620",
            "telephone_number": "240-481-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TOUCH THERAPEUTIC COUNSELING AND MENTORING SERVICES,, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-18",
        "last_updated": "2017-02-18",
        "status": "A",
        "authorized_official_last_name": "ADEGOROYE",
        "authorized_official_first_name": "BOLADALE",
        "authorized_official_middle_name": "WURAOLA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "240-481-9962",
        "authorized_official_credential": "M.A, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115593800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Diaz, PA-C
• Naomi Marie Dillon, DPT
• Elizabeth Anna Disanti, CRNP
• Abigail Disman
• Divine Touch Therapeutic Counseling and Mentoring Services , LLC
• Rommer Ernesto Dizon, PT, DPT
• Docs of Wellness LLC
• Karin M Dodge, MD
• Angela Marie Dougherty-Taylor, LMSW
• Allison Doyle, FNP-C

• Community/Behavioral Health Agency in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2017; 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.