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DIVINE HEALTH PSYCHIATRIC SERVICES LLC
NPI 1174453328
Nurse Practitioner - Psychiatric/Mental Health in Reisterstown, MD

Active since May 20, 2026
117 E CHERRY HILL RD, REISTERSTOWN, MD 21136(443) 244-1221 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Health Psychiatric Services Llc NPPES

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

DIVINE HEALTH PSYCHIATRIC SERVICES LLC (NPI 1174453328) is a healthcare organization registered as a psychiatric/mental health in Reisterstown, Maryland and active in the NPI registry since May 2026. The organization lists Emmanuel A Gbala, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1174453328
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDIVINE HEALTH PSYCHIATRIC SERVICES LLC
Location Address117 E CHERRY HILL RDReisterstown, MD 21136-3023
Mailing Address117 E Cherry Hill RdReisterstown, MD 21136-3023 · (443) 244-1221
Phone(443) 244-1221
Organization SubpartNo
Authorized OfficialEmmanuel A GbalaClinical Director · (443) 244-1221
Enumeration DateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1174453328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
117 E CHERRY HILL RD, Reisterstown, MD 21136
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

EMMANUEL A GBALA
Nurse Practitioner (Psychiatric/Mental Health)
117 E CHERRY HILL RD
REISTERSTOWN, MD 21136
Baltimore County (443) 204-3919
DIVINE HEALTH PSYCHIATRIC SERVICES LLC
Clinic/Center (Multi-Specialty)
117 E CHERRY HILL RD
REISTERSTOWN, MD 21136
Baltimore County (443) 204-3919
ESTHER GBALA
Behavior Technician
117 E CHERRY HILL RD
REISTERSTOWN, MD 21136
Baltimore County (443) 707-8704

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 Health Psychiatric Services LLC's NPI number?

The NPI number for Divine Health Psychiatric Services LLC is 1174453328. It was assigned to this organization in the NPPES registry on May 20, 2026.

Where is Divine Health Psychiatric Services LLC located?

Divine Health Psychiatric Services LLC is located at 117 E Cherry Hill Rd, Reisterstown, MD 21136. The listed phone number is (443) 244-1221.

What is Divine Health Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Divine Health Psychiatric Services LLC was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.