Divine Holistic Intervention Services LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DIVINE HOLISTIC INTERVENTION SERVICES LLC.

Practice address

1330 N Classen Blvd Ste 310
Oklahoma City, OK 73106-6834

Phone

(405) 821-8646

NPI assigned

Nov 26, 2018

Organization subpart

No

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

Authorized official

Name

Henrietta Ngozi Evbuomwan, M.S. LPC.NPI 1144540055

Title

Director

Phone

(405) 821-8646

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.

• Henrietta Ngozi Evbuomwan, MSC, LPC

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1144540055
  NPD (past) Authorized official

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1801366554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N CLASSEN BLVD STE 310",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066834",
            "telephone_number": "405-821-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N CLASSEN BLVD STE 310",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066834",
            "telephone_number": "405-821-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOLISTIC INTERVENTION SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "EVBUOMWAN",
        "authorized_official_first_name": "HENRIETTA",
        "authorized_official_middle_name": "NGOZI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-821-8646",
        "authorized_official_credential": "M.S. LPC."
    },
    "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": []
}

• Diversity Family Health Plllp
• Diversity Family Pharmacy Inc
• Diversity Health and Wellness
• Divine Care Home Health, Inc.
• Divine Healing and Family Counseling LLC
• Dixieland Dental, Inc
• Mable Catherine Dixon-Shelton
• Alexis M Dixon, LMSW
• Avani Dixon
• Cheryl Lynn Dixon

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.