Organization Active NPI

Divine Interventions Behavioral Health LLC

  • Clinical Social Worker
  • Flowood, MS
National Provider Identifier
1942813597
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DIVINE INTERVENTIONS BEHAVIORAL HEALTH LLC
Practice address
10 Canebrake Blvd Ste 110-17
Flowood, MS 39232-2211
Phone
(769) 300-1012
Fax
(844) 444-0779
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Chasity Davis
Title
Owner/President
Phone
(769) 300-1012

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

10 Canebrake Blvd Ste 110-17
Flowood, MS 39232-2211

Mailing address

PO Box 821878
Vicksburg, MS 39182-1878
Phone (769) 203-8141

National Provider Directory

National Provider Directory

Locations

326 N Genesee St
Unit 801
Waukegan, IL 60079

10 Canebrake Blvd
Ste 11017
Flowood, MS 39232
Phone (769) 300-1012

301 E South St
Kosciusko, MS 39090
Phone (662) 516-8007

507 Market St
Port Gibson, MS 39150
Phone (601) 618-3728

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1942813597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821878",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391821878",
            "telephone_number": "769-203-8141",
            "fax_number": "844-444-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CANEBRAKE BLVD STE 110-17",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392322211",
            "telephone_number": "769-300-1012",
            "fax_number": "844-444-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTERVENTIONS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "769-300-1012"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.