NPIMap

Organization Active NPI

Divine Consulting Services, Inc

  • Community/Behavioral Health Agency
  • Rincon, GA
National Provider Identifier
1871864173
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIVINE CONSULTING SERVICES, INC
Practice address
5910 Ga Highway 21 S
Unit 6
Rincon, GA 31326-5505
Phone
(912) 988-3649
Fax
(888) 572-7924
NPI assigned
Jan 18, 2012
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Dr. Kenneith Durden, ED.D
Title
Ceo/Owner
Phone
(475) 455-2092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5910 Ga Highway 21 S
Unit 6
Rincon, GA 31326-5505

Mailing address

5910 Ga Highway 21 S
Unit 6
Rincon, GA 31326-5505
Phone (912) 988-3649

National Provider Directory

National Provider Directory
Tax ID family
Divine Consulting Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5910 GA Highway 21 S
Unit 6
Rincon, GA 31326
Phone (478) 455-2092

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1871864173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 GA HIGHWAY 21 S",
            "address_2": "UNIT 6",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265505",
            "telephone_number": "912-988-3649",
            "fax_number": "888-572-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 GA HIGHWAY 21 S",
            "address_2": "UNIT 6",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265505",
            "telephone_number": "912-988-3649",
            "fax_number": "888-572-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CONSULTING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "DURDEN",
        "authorized_official_first_name": "KENNEITH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "475-455-2092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.