Charles L Diviney Iii Mc Lpc Ncc

LBN: Charles L Diviney Iii Mc Lpc Ncc
Charles L Diviney Iii Mc Lpc Ncc is an health care organization with primary practice located at 352 So Denver St. #215, Slc UT 84110-3872. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Charles L Diviney Iii Mc Lpc Ncc can be contacted via phone (801) 521-4227, or through Diviney Iii Mc Lcmhc Ncc, Phd, Charles L via phone (801) 521-4227.

Contact Information

Primary practice address
352 So Denver St. #215 Slc UT 84110-3872
Phone: (801) 521-4227
Fax: (801) 359-0777
Website:
Map and Directions
Authorized official contact:
Name: Diviney Iii Mc Lcmhc Ncc, Phd, Charles L MC LCMHC NCC PHD.
Phone: (801) 521-4227

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 340426-6004 Utah
Behavioral Health & Social Service Providers / Professional 101YP2500X 5170621-6004 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6281940-3501 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 210158-4405 Utah

Profile Details

NPI number 1235447772
LBN Legal business name Charles L Diviney Iii Mc Lpc Ncc
DBA Doing business as
Authorized official Diviney Iii Mc Lcmhc Ncc, Phd, Charles L MC LCMHC NCC PHD.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2010
Last updated Nov 21st, 2012 - about 13 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 1235447772 NPPES
Utah Other 340426600001001 BCBS UT

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