Divine Spa LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

DIVINE SPA LLC

Practice address

12280 Broadway St Ste 4120
Pearland, TX 77584-7868

Phone

(281) 639-6665

NPI assigned

Aug 17, 2026

Organization subpart

No

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

Authorized official

Name

Brianna Stephanie Montiel

Title

Owner

Phone

(281) 639-6665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1891600797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 CROKER RIDGE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770533348",
            "telephone_number": "281-639-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12280 BROADWAY ST STE 4120",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847868",
            "telephone_number": "281-639-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "MONTIEL",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-639-6665"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jermaine Dixon, LPC-A
• Rafiah Malene Dixon, LPC-S
• Tyrin Cornell Dixon

• Massage Therapist in Pearland, TX
• Providers in Pearland, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.