Provider Demographics
NPI:1598543985
Name:DEVINE INTERVENTIONS LLC
Entity Type:Organization
Organization Name:DEVINE INTERVENTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-301-5501
Mailing Address - Street 1:6201 GREENBELT RD.
Mailing Address - Street 2:UNIT U-3
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-0000
Mailing Address - Country:US
Mailing Address - Phone:804-301-5501
Mailing Address - Fax:
Practice Address - Street 1:6201 GREENBELT RD.
Practice Address - Street 2:UNIT U-3
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-0000
Practice Address - Country:US
Practice Address - Phone:804-301-5501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health