Provider Demographics
NPI:1447027818
Name:A DIVINE BEGINNING, LLC
Entity type:Organization
Organization Name:A DIVINE BEGINNING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MITOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-238-4115
Mailing Address - Street 1:2817 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2122
Mailing Address - Country:US
Mailing Address - Phone:803-238-4115
Mailing Address - Fax:843-799-1674
Practice Address - Street 1:2817 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2122
Practice Address - Country:US
Practice Address - Phone:803-238-4115
Practice Address - Fax:843-799-1674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency