Divine Healthcare Consultants LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

DIVINE HEALTHCARE CONSULTANTS LLC

Practice address

34 Wood Drake Place
Woodland, TX 77375

Phone

(832) 319-0453

Fax

(866) 525-0270

NPI assigned

Apr 4, 2022

Last updated

Apr 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bri-Anna Guillory, LVN-WCN-C

Title

Ceo

Phone

(832) 228-6988

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1679214845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WOOD DRAKE PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773754972",
            "telephone_number": "832-319-0453",
            "fax_number": "866-525-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WOOD DRAKE PLACE",
            "city": "WOODLAND",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "832-319-0453",
            "fax_number": "866-525-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTHCARE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-04",
        "last_updated": "2022-04-04",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "BRI-ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-228-6988",
        "authorized_official_credential": "LVN-WCN-C"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.documo.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant & PHI Encrypted Online Fax Server",
            "address_1": "17350 State Highway 249 Ste 220",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770641132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Missid George Ghanem, PSYD

• Health Maintenance Organization in Woodland, TX
• Providers in Woodland, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.