THE DIVINE THERAPY AND WELLNESS CENTER (NPI# 1639701873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639701873 |
| Entity Type | Organization |
| Organization Name | THE DIVINE THERAPY AND WELLNESS CENTER |
| Practice Address |
5376 Tomah Dr Ste 210 Colorado Springs CO 80918-6968 |
| Practice Telephone | 7197667163 |
| Mailing Telephone | 7197667163 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | ANDREA V PACHECO (OWNER) |
| Authorized Official Telephone | 7196863029 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Divine Therapy and Wellness Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | The Divine Therapy and Wellness Center | 5376 Tomah Drive, Suite 210, Colorado Springs, CO 80918 |
| Street Address |
5376 TOMAH DR STE 210 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918-6968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417383035 | Andrea Pacheco | Social Worker | 5376 Tomah Dr Ste 210, Colorado Springs, CO 80918-6968 | 2013-09-16 |
| 1023676913 | Broadright Counseling Services | Clinic/Center | 5376 Tomah Dr Ste 210, Colorado Springs, CO 80918-6968 | 2019-06-05 |
| 1588049951 | Trisha Danielle Broadright | Counselor | 5376 Tomah Dr Ste 210, Colorado Springs, CO 80918-6968 | 2015-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970889 | Kelley Dyer Lcsw Inc. | Clinic/Center | 4793 N Splendid Cir, Colorado Springs, CO 80917-1681 | 2020-07-22 |
| 1538777610 | Abbey Westphal Lcsw Inc | Clinic/Center | 6270 Lehman Dr Ste 280, Colorado Springs, CO 80918-1446 | 2020-07-15 |
| 1376178517 | Alston Counseling Services LLC | Clinic/Center | 1255 Lake Plaza Dr Ste 115, Colorado Springs, CO 80906-3541 | 2020-03-09 |
| 1194366153 | Reaching Hands As Each One Teachings One | Clinic/Center | 4720 Galley Rd, Colorado Springs, CO 80915-2735 | 2019-10-01 |
| 1972166080 | Inner Hope Therapy | Clinic/Center | 2970 N. Academy Blvd. Suite 206, Colorado Springs, CO 80917-8091 | 2019-04-16 |
| 1790141984 | Family Care Center LLC | Clinic/Center | 2860 S Circle Dr Ste 109, Colorado Springs, CO 80906-4195 | 2016-01-05 |
| 1992752133 | Cedar Springs Hospital, Inc | Clinic/Center | 2135 Southgate Rd, Colorado Springs, CO 80906-2605 | 2006-05-30 |
| 1467079053 | Convenient Colorado Counseling LLC | Clinic/Center | 5155 Laredo Ridge Dr, Colorado Springs, CO 80922-2222 | 2020-06-29 |
| 1487277471 | Hope Mountain Behavioral Health | Clinic/Center | 1802 Chapel Hills Dr Ste A, Colorado Springs, CO 80920-3736 | 2020-05-25 |
| 1679118954 | Therapywize LLC | Clinic/Center | 5540 N Academy Blvd Ste 210, Colorado Springs, CO 80918-3696 | 2019-11-11 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
Please comment or provide details below to improve the information on THE DIVINE THERAPY AND WELLNESS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.