DIVINE BEHAVIORAL HEALTH SERVICES LLC
NPI 1619563186
Nurse Practitioner - Psychiatric/Mental Health in Renton, WA

Q: What is Divine Behavioral Health Services LLC's specialty?

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

Active since December 17, 2020

340 MORRIS AVE S, RENTON, WA 98057(206) 290-7385 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Mar 6, 2025, Dec 17, 2020 (3 updates tracked since 2020).

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About Divine Behavioral Health Services Llc NPPES

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

DIVINE BEHAVIORAL HEALTH SERVICES LLC (NPI 1619563186) is a healthcare organization registered as a psychiatric/mental health in Renton, Washington and active in the NPI registry since December 2020. The organization maintains 2 additional practice locations and lists Jane Nwankwookoye, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619563186

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameDIVINE BEHAVIORAL HEALTH SERVICES LLC

Location Address340 MORRIS AVE SRenton, WA 98057-2521

Mailing Address720 N 10th St Ste A399Renton, WA 98057-5683 · (206) 290-7385

Phone(206) 290-7385

Organization SubpartNo

Authorized OfficialJane NwankwookoyeCeo · (206) 290-3172

Enumeration DateDecember 17, 2020

Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration

NPPES CertifiedOctober 14, 2025

✔ NPI 1619563186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

340 MORRIS AVE S, Renton, WA 98057

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Secondary Practice Locations 2

Location 1212 Wells Ave S Ste BRenton, WA 98057-2142 · Phone (206) 730-4404

Location 2720 N 10th St Ste A399Renton, WA 98057-5683 · Phone (206) 290-7385

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 5

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

SPACE FOR GRIEF

Counselor (Mental Health)