Divine Guidance Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1101404-SUPV Issued in OH

Legal business name

DIVINE GUIDANCE CENTER, LLC

Practice address

1799 Akron Peninsula Rd
Suite 205
Akron, OH 44313-4847

Phone

(330) 922-1333

NPI assigned

Mar 5, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Toni Moore, MSSA, LISW-SNPI 1962739607

Title

Ceo

Phone

(216) 778-9357

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cynthia Toni Moore, MSSA, LISW-S

  • Clinical Social Worker
  • Akron, OH
  • NPI 1962739607
  NPD (past) Authorized official

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1679013015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 AKRON PENINSULA RD",
            "address_2": "SUITE 205",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443134847",
            "telephone_number": "330-922-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 AKRON PENINSULA RD",
            "address_2": "SUITE 205",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443134847",
            "telephone_number": "330-922-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GUIDANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "TONI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-778-9357",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSSA, LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1101404-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Akron, OH
• Providers in Akron, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.