Provider Demographics
NPI:1447626064
Name:DIVINTHE TRAINING AND CONSULTING SERVICES, LLC
Entity type:Organization
Organization Name:DIVINTHE TRAINING AND CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:M
Authorized Official - Last Name:PURRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:504-376-9867
Mailing Address - Street 1:1008 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-3124
Mailing Address - Country:US
Mailing Address - Phone:504-376-9867
Mailing Address - Fax:504-754-7840
Practice Address - Street 1:1008 MADISON ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-3124
Practice Address - Country:US
Practice Address - Phone:504-376-9867
Practice Address - Fax:504-754-7840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X, 101YP2500X, 251E00000X, 251S00000X
LA5244302F00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3767970Medicaid