Organization Active NPI

Divine Resolutions, LLC

  • Community/Behavioral Health Agency
  • Hickory, NC
National Provider Identifier
1932762648
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIVINE RESOLUTIONS, LLC
Practice address
315 1St Ave NW Ste 200
Hickory, NC 28601-6168
Phone
(704) 369-9445
NPI assigned
Apr 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2019

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

Authorized official

Name
Tyneisia Herndon
Title
Ceo/Owner
Phone
(704) 369-9445

Specialties & licenses 1

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

Addresses

Primary practice location

315 1St Ave NW Ste 200
Hickory, NC 28601-6168

Mailing address

315 1St Ave NW Ste 200
Hickory, NC 28601-6168
Phone (704) 369-9445

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address therndon.divine@gmial.com Direct

National Provider Directory

National Provider Directory

Locations

315 1st Ave NW
Ste 200
Hickory, NC 28601
Phone (704) 369-9445

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555718400000",
    "number": "1932762648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 1ST AVE NW STE 200",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016168",
            "telephone_number": "704-369-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 1ST AVE NW STE 200",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016168",
            "telephone_number": "704-369-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE RESOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-20",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "TYNEISIA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "704-369-9445"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therndon.divine@gmial.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tyneisia@icloud.com",
            "address_1": "315 1st Ave NW Ste 200",
            "city": "Hickory",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286016168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; 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.