DIVINITY LLC
NPI 1013803360
Psychiatry & Neurology - Psychiatry in Loon Lake, WA

Q: What is Divinity LLC's NPI number?

The NPI number for Divinity LLC is 1013803360. It was assigned to this organization in the NPPES registry on June 14, 2025. The provider is doing business as Divinity.

Q: What is Divinity LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Divinity LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 14, 2025

3957 GARDEN SPOT RD, LOON LAKE, WA 99148(509) 990-9416 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Divinity Llc NPPES

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

DIVINITY LLC (NPI 1013803360), doing business as Divinity, is a healthcare organization registered as a psychiatry in Loon Lake, Washington and active in the NPI registry since June 2025. The organization lists Kristin Kenyon-miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1013803360

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameDIVINITY LLC

Location Address3957 GARDEN SPOT RDLoon Lake, WA 99148-9750

Mailing AddressPo Box 1037Loon Lake, WA 99148-1037 · (509) 990-9416

Phone(509) 990-9416

Organization SubpartNo

Authorized OfficialKristin Kenyon-millerOwner · (509) 990-9416

Enumeration DateJune 14, 2025

Last NPPES UpdateJuly 31, 2025

NPPES CertifiedJuly 31, 2025

✔ NPI 1013803360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3957 GARDEN SPOT RD, Loon Lake, WA 99148

Open in Google Maps ↗

Other Names 1

Doing Business AsDivinity

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

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 Divinity LLC's NPI number?

The NPI number for Divinity LLC is 1013803360. It was assigned to this organization in the NPPES registry on June 14, 2025. The provider is doing business as Divinity.

Where is Divinity LLC located?

Divinity LLC is located at 3957 Garden Spot Rd, Loon Lake, WA 99148. The listed phone number is (509) 990-9416.

What is Divinity LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Divinity LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.