D'Vine Therapeutic Services, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT 2648 Issued in FL

Legal business name

D'VINE THERAPEUTIC SERVICES, INC.

Practice address

3900 W Commercial Blvd
Suite 232
Tamarac, FL 33309-3328

Phone

(954) 682-7903

Fax

(786) 497-3863

NPI assigned

Jan 23, 2014

Organization subpart

No

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

Authorized official

Name

Yolle-Guida Dervil, LMFTNPI 1962758185

Title

Founder/Ceo

Phone

(954) 682-7903

Specialties & licenses 1

Addresses

Tax ID family

D'Vine Therapeutic Services Inc2 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.

• D'Vine Therapeutic Services, Inc.

  • Mental Health Counselor
  • Tamarac, FL
  • NPI 1558785089
  NPD tax ID

Practitioners 1

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

• Yolle-Guida Dervil, LMFT

  • Marriage & Family Therapist
  • Tamarac, FL
  • NPI 1962758185
  NPD (past) Authorized official

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1891118055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W COMMERCIAL BLVD",
            "address_2": "SUITE 232",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333093328",
            "telephone_number": "954-682-7903",
            "fax_number": "786-497-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W COMMERCIAL BLVD",
            "address_2": "SUITE 232",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333093328",
            "telephone_number": "954-682-7903",
            "fax_number": "786-497-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D'VINE THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "DERVIL",
        "authorized_official_first_name": "YOLLE-GUIDA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "954-682-7903",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zakiyah Cyrus
• Anthony Joseph D'Aniello, M.S., CCC-A
• Elia Jessica D'Auria, D.C
• Madalyn D'Eletto
• D'Vine Therapeutic Services, Inc.
• D&H Tamarac Research Center LLC
• Carlos Da Silva, DMD
• Kenneth A Dacey, MD
• Kyzor M Dahdah, D.C
• Evelyne Dalembert

• Marriage & Family Therapist in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.