MINE DIVINE HEALTH LLC
NPI 1326913294
Nurse Practitioner - Psychiatric/Mental Health in Lees Summit, MO
Active since October 09, 2025
About Mine Divine Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINE DIVINE HEALTH LLC (NPI 1326913294) is a healthcare organization registered as a psychiatric/mental health in Lees Summit, Missouri and active in the NPI registry since October 2025. The organization lists Adesuwa Obasogie, Ceo/owner, as its authorized official.
NPPES Registry Identity
NPI1326913294
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINE DIVINE HEALTH LLC
Location Address132 SE CHELSEA CT # LEELees Summit, MO 64063-2472
Mailing Address132 Se Chelsea Ct # LeeLees Summit, MO 64063-2472
Phone(816) 217-2076
Organization SubpartNo
Authorized OfficialAdesuwa ObasogieCeo/owner · (816) 217-2076
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1326913294 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
132 SE CHELSEA CT # LEE, Lees Summit, MO 64063
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
The NPI number assigned to this healthcare provider is 1326913294, enumerated as an "organization" on October 09, 2025.
The provider is located at 132 SE CHELSEA CT # LEE LEES SUMMIT, MO 64063 and the phone number is (816) 217-2076.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
