Divine Healing Space, Pllc

LBN: Divine Healing Space, Pllc
Divine Healing Space, Pllc is an health care organization with primary practice located at 12222 Merit Dr # 130 , Dallas TX 75251-2217. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Divine Healing Space, Pllc can be contacted via phone (504) 410-0031, or through Battles, Jasmine via phone (504) 410-0031.

Contact Information

Primary practice address
12222 Merit Dr # 130 Dallas TX 75251-2217
Phone: (504) 410-0031
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Battles, Jasmine Licensed Clinical Social Worker (LCSW)
Phone: (504) 410-0031

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1417521907
LBN Legal business name Divine Healing Space, Pllc
DBA Doing business as
Authorized official Battles, Jasmine Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2021
Last updated May 18th, 2021 - about 3 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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