A Divine Time Llc

LBN: A Divine Time Llc
A Divine Time Llc is an health care organization with primary practice located at 8539 Monroe Rd # 123 , Charlotte NC 28212-7510. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Peer Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. A Divine Time Llc can be contacted via phone (336) 541-3485, or through Corbett, Tressa via phone (336) 541-3485.

Contact Information

Primary practice address
8539 Monroe Rd # 123 Charlotte NC 28212-7510
Phone: (336) 541-3485
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Corbett, Tressa Licensed Clinical Social Worker (LCSW)
Phone: (336) 541-3485

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Peer Specialist 175T00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1346979093
LBN Legal business name A Divine Time Llc
DBA Doing business as
Authorized official Corbett, Tressa Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2022
Last updated Oct 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346979093 NPPES
North Carolina MEDICAID 00556313
North Carolina MEDICAID 1114265337

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