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DIVINE LEGENDS LLC
NPI 1205352697
Community/Behavioral Health in Raleigh, NC

Active since August 17, 2017
555 FAYETTEVILLE ST STE 201, RALEIGH, NC 27601(919) 348-6246 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Apr 29, 2018, Apr 16, 2018 and 1 more (4 updates tracked since 2017).

About Divine Legends Llc NPPES

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

DIVINE LEGENDS LLC (NPI 1205352697) is a healthcare organization registered as a community/behavioral health in Raleigh, North Carolina and active in the NPI registry since August 2017. The organization lists Chasity Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1205352697
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDIVINE LEGENDS LLC
Location Address555 FAYETTEVILLE ST STE 201Raleigh, NC 27601-3034
Mailing AddressPo Box 41071Raleigh, NC 27629-1071
Phone(919) 348-6246
Organization SubpartNo
Authorized OfficialChasity DavisOwner · (919) 348-6246
Enumeration DateAugust 17, 2017
Last NPPES UpdateJune 16, 20184 updates tracked since enumeration
✔ NPI 1205352697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
555 FAYETTEVILLE ST STE 201, Raleigh, NC 27601
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Other Providers at the Same Location NPPES 8

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

SAME GIRL HAIR INC
Prosthetic/Orthotic Supplier
555 FAYETTEVILLE ST STE 201
RALEIGH, NC 27601
Wake County (919) 284-4821
MEDICAL ASSIGN PROFESSIONALS, LLC
Nursing Care
555 FAYETTEVILLE ST STE 201
RALEIGH, NC 27601
Wake County (919) 275-0018
CORNERSTONE BEHAVIORAL HEALTH
Psychiatry & Neurology (Psychiatry)
555 FAYETTEVILLE ST STE 201
RALEIGH, NC 27601
Wake County (201) 463-0017
CAROLINA REHABWORKS, INC.
Physical Therapist
555 FAYETTEVILLE ST STE 201
RALEIGH, NC 27601
Wake County (252) 367-1118
KELSEY RUDZINSKY RN
Registered Nurse
555 FAYETTEVILLE ST STE 201
RALEIGH, NC 27601
Wake County (646) 868-8100
JOEL WITHERSPOON LPC
Counselor (Professional)
555 FAYETTEVILLE ST STE 201
RALEIGH, NC 27601
Wake County (833) 351-8255
VALERIE UCHEGBU
Social Worker (Clinical)
555 FAYETTEVILLE ST STE 201
RALEIGH, NC 27601
Wake County (919) 800-0616
DR. LINDSAY WIECZOREK PHD, RN
Registered Nurse (Psychiatric/Mental Health)
555 FAYETTEVILLE ST STE 201
RALEIGH, NC 27601
Wake County (314) 322-8632

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 Legends LLC's NPI number?

The NPI number for Divine Legends LLC is 1205352697. It was assigned to this organization in the NPPES registry on August 17, 2017.

Where is Divine Legends LLC located?

Divine Legends LLC is located at 555 Fayetteville St Ste 201, Raleigh, NC 27601. The listed phone number is (919) 348-6246.

What is Divine Legends 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 Divine Legends LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.