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MRS. GLENDORA DVINE LPC
NPI 1144540535
Counselor - Professional in Hampton, GA

Active since June 08, 2010PECOS Enrolled
141 BRIDGEMILL DR, HAMPTON, GA 30228(782) 125-1466(788) 313-5546 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Glendora Dvine Lpc NPPES

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

MRS. GLENDORA DVINE LPC (NPI 1144540535) is an individual professional provider in Hampton, Georgia, licensed in Georgia (006210) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144540535
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. GLENDORA DVINECredential: LPC
Location Address141 BRIDGEMILL DRHampton, GA 30228-5536
Mailing Address922 Highway 81 E Ste 348Mcdonough, GA 30252-2978 · (678) 212-5146 · Fax (678) 831-3554
Phone(782) 125-1466
Fax(788) 313-5546
Sole ProprietorYes
Enumeration DateJune 8, 2010
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1144540535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 006210
141 BRIDGEMILL DR, Hampton, GA 30228
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Glendora Dvine Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

HEALTHCARE AUTHORITY
Counselor (Professional)
141 BRIDGEMILL DR
HAMPTON, GA 30228
Henry County (470) 485-8337

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 Glendora Dvine's NPI number?

The NPI number for Glendora Dvine is 1144540535. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Glendora Dvine located?

Glendora Dvine practices at 141 Bridgemill Dr, Hampton, GA 30228. The listed phone number is (782) 125-1466.

What is Glendora Dvine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Glendora Dvine enrolled in Medicare?

Yes. Glendora Dvine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glendora Dvine was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.