Active NPIOrganization

Divine Restoration Behavioral Health LLC

Nurse Practitioner, Psych/Mental Health in Holyoke, Massachusetts

NPI Number1184338618
Practice location
98 Lower Westfield RD Ste 101, Holyoke, MA 01040-2744
Fax
—
Last updated
August 15, 2024

Divine Restoration Behavioral Health LLC is a healthcare organization based in Holyoke, MA. Divine Restoration Behavioral Health LLC practices in Holyoke, MA. The NPI Number for Divine Restoration Behavioral Health LLC is 1184338618. The current practice location address for Divine Restoration Behavioral Health LLC is 98 Lower Westfield RD Ste 101, Holyoke, MA 01040-2744 and can be reached out via phone at 774-318-7893.

Provider Profile Details

NPI Number
1184338618
Provider Name
Divine Restoration Behavioral Health LLC
Provider Entity Type
Organization
Address
98 Lower Westfield RD Ste 101, Holyoke, MA 01040-2744
Phone Number
774-318-7893
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Dr. Abdonne Mbouadeu, DNP · Pmhnp-Bc · 774-318-7893
Other Names
Divine Restoration Behavioral Health (Doing Business As)
Provider Enumeration Date
January 10, 2023
Last Update Date
August 15, 2024
Certification Date
August 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
98 Lower Westfield RD Ste 101
Holyoke, MA 01040-2744
Zip
01040-2744
Phone Number
774-318-7893
Holyoke, MA 01040Get directions →

Provider Business Mailing Address Details

Address
98 Lower Westfield RD Ste 101
Holyoke, MA 01040-2744
City
Holyoke
State
MA
Zip
01040-2744
Phone Number
774-420-1993

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Divine Restoration Behavioral Health LLC?

The NPI number of Divine Restoration Behavioral Health LLC is 1184338618. It was assigned on January 10, 2023 and is currently active in the NPPES registry.

What is the specialty of Divine Restoration Behavioral Health LLC?

Divine Restoration Behavioral Health LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Divine Restoration Behavioral Health LLC practice?

The practice location is 98 Lower Westfield RD Ste 101, Holyoke, MA 01040-2744. The office can be reached at 774-318-7893 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184338618 directly on the NPPES registry website.

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