Provider Demographics
NPI:1134498264
Name:DIVINE TOUCH INC
Entity Type:Organization
Organization Name:DIVINE TOUCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHINEKA
Authorized Official - Middle Name:C
Authorized Official - Last Name:FOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-787-2116
Mailing Address - Street 1:1828 ARCH STONE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-5095
Mailing Address - Country:US
Mailing Address - Phone:702-787-2116
Mailing Address - Fax:
Practice Address - Street 1:1828 ARCH STONE AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-5095
Practice Address - Country:US
Practice Address - Phone:702-787-2116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty