Provider Demographics
NPI:1154085397
Name:DIVINE WORTH-SHIP COUNSELING
Entity Type:Organization
Organization Name:DIVINE WORTH-SHIP COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND PRACTICING THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:267-225-6963
Mailing Address - Street 1:1415 ROSALIE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-3322
Mailing Address - Country:US
Mailing Address - Phone:215-225-6963
Mailing Address - Fax:
Practice Address - Street 1:1415 ROSALIE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-3322
Practice Address - Country:US
Practice Address - Phone:215-225-6963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health