DIVINE BRABOY LPC
NPI 1144997610
Counselor - Mental Health in Hazel Crest, IL

Active since August 24, 2021
3704 BRIAR LN, HAZEL CREST, IL 60429(773) 563-7670 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divine Braboy Lpc NPPES

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

DIVINE BRABOY LPC (NPI 1144997610) is an individual mental health provider in Hazel Crest, Illinois, licensed in Illinois (178013828) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1144997610
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDIVINE BRABOYCredential: LPC
Location Address3704 BRIAR LNHazel Crest, IL 60429-2414
Mailing Address3704 Briar LnHazel Crest, IL 60429-2414 · (773) 563-7670
Sole ProprietorNo
Enumeration DateAugust 24, 2021
NPPES CertifiedAugust 24, 2021
NPI 1144997610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 178013828
3704 BRIAR LN, Hazel Crest, IL 60429

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 Divine Braboy's NPI number?

The NPI number for Divine Braboy is 1144997610. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Divine Braboy located?

Divine Braboy practices at 3704 Briar Ln, Hazel Crest, IL 60429. The listed phone number is (773) 563-7670.

What is Divine Braboy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Divine Braboy was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.