Provider Demographics
NPI:1386062198
Name:DIVINE HEALING AND FAMILY COUNSELING LLC
Entity type:Organization
Organization Name:DIVINE HEALING AND FAMILY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:CHIME
Authorized Official - Last Name:ONYIA
Authorized Official - Suffix:
Authorized Official - Credentials:MHR, LPC U/SUPERVISI
Authorized Official - Phone:405-326-9540
Mailing Address - Street 1:8001 MID AMERICA BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-5806
Mailing Address - Country:US
Mailing Address - Phone:405-326-9540
Mailing Address - Fax:
Practice Address - Street 1:8001 MID AMERICA BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-5806
Practice Address - Country:US
Practice Address - Phone:405-326-9540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health