DEVINE GRACE BEHAVIORAL HEALTH CENTER, LLC
NPI 1003670605
Community/Behavioral Health in Waldorf, MD

Active since February 13, 2024

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Devine Grace Behavioral Health Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVINE GRACE BEHAVIORAL HEALTH CENTER, LLC (NPI 1003670605) is a healthcare organization registered as a community/behavioral health in Waldorf, Maryland and active in the NPI registry since February 2024. The organization lists Adewale Soniregun, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003670605
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDEVINE GRACE BEHAVIORAL HEALTH CENTER, LLC
Location Address85 HIGH STWaldorf, MD 20602-2150
Mailing Address7502 Dogwood LnHanover, MD 21076-3170
Organization SubpartNo
Authorized OfficialAdewale SoniregunCeo · (240) 882-0536
Enumeration DateFebruary 13, 2024
Last NPPES UpdateAugust 23, 2024
NPPES CertifiedAugust 23, 2024
NPI 1003670605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
85 HIGH ST, Waldorf, MD 20602

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
85 HIGH ST, SUITE 4
WALDORF, MD 20602
Social Worker (Clinical)
85 HIGH ST, SUITE 4
WALDORF, MD 20602
Dentist (Orthodontics and Dentofacial Orthopedics)
85 HIGH ST, SUITE 4
WALDORF, MD 20602
Community/Behavioral Health
85 HIGH ST, SUITE 4
WALDORF, MD 20602
Counselor (Addiction (Substance Use Disorder))
85 HIGH ST
WALDORF, MD 20602
Dentist (General Practice)
85 HIGH ST, SUITE 6
WALDORF, MD 20602
Social Worker
85 HIGH ST
WALDORF, MD 20602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devine Grace Behavioral Health Center, LLC's NPI number?

The NPI number for Devine Grace Behavioral Health Center, LLC is 1003670605. It was assigned to this organization in the NPPES registry on February 13, 2024.

Where is Devine Grace Behavioral Health Center, LLC located?

Devine Grace Behavioral Health Center, LLC is located at 85 High St, Waldorf, MD 20602. The listed phone number is (240) 882-0536.

What is Devine Grace Behavioral Health Center, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Devine Grace Behavioral Health Center, LLC was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.