Provider Demographics
NPI:1609483031
Name:DIVINE STEPS INC.
Entity Type:Organization
Organization Name:DIVINE STEPS INC.
Other - Org Name:DIVINE STEPS INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUCRETIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DURIAS
Authorized Official - Suffix:
Authorized Official - Credentials:TCM, CAPSS, BA,
Authorized Official - Phone:502-608-2864
Mailing Address - Street 1:3050 W BROADWAY STE 1D
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40211-1475
Mailing Address - Country:US
Mailing Address - Phone:502-384-7115
Mailing Address - Fax:502-709-5435
Practice Address - Street 1:3050 W BROADWAY STE 1D
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40211-1475
Practice Address - Country:US
Practice Address - Phone:502-384-7115
Practice Address - Fax:502-709-5435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty