Divine Source

LBN: Divine Source
Divine Source is an health care organization with primary practice located at 141 Country Club Dr , Hendersonville TN 37075-4041. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Divine Source can be contacted via phone (615) 428-4425, or through Gillam, Barbara M via phone (615) 428-4425.

Contact Information

Primary practice address
141 Country Club Dr Hendersonville TN 37075-4041
Fax:
Website:
Authorized official contact:
Name: Gillam, Barbara M Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1316562218
LBN Legal business name Divine Source
DBA Doing business as
Authorized official Gillam, Barbara M Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2020
Last updated Jun 16th, 2020 - about 4 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.

Request for update

Popular Providers