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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DIVINE INTERVENTIONIST
NPI 1336060391
Community/Behavioral Health in Charlotte, TN

Active since July 23, 2026
123 TODD ST, CHARLOTTE, TN 37036(615) 218-4571 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Divine Interventionist NPPES

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

DIVINE INTERVENTIONIST (NPI 1336060391) is a healthcare organization registered as a community/behavioral health in Charlotte, Tennessee and active in the NPI registry since July 2026. The organization lists Roncey Decoy Edmondson, Ceo- Non-licensed Owner, as its authorized official.

NPPES Registry Identity

NPI1336060391
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDIVINE INTERVENTIONIST
Location Address123 TODD STCharlotte, TN 37036-4909
Mailing Address123 Todd StCharlotte, TN 37036-4909 · (615) 218-4571
Phone(615) 218-4571
Organization SubpartNo
Authorized OfficialRoncey Decoy EdmondsonCeo- Non-licensed Owner · (615) 218-4571
Enumeration DateJuly 23, 2026
Last NPPES UpdateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ NPI 1336060391 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.
123 TODD ST, Charlotte, TN 37036
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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 Interventionist's NPI number?

The NPI number for Divine Interventionist is 1336060391. It was assigned to this organization in the NPPES registry on July 23, 2026.

Where is Divine Interventionist located?

Divine Interventionist is located at 123 Todd St, Charlotte, TN 37036. The listed phone number is (615) 218-4571.

What is Divine Interventionist'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 Interventionist was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.