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DIVINE GRACE RESOURCE CENTER INC
NPI 1649158635
Counselor - Mental Health in Loganville, GA

Active since August 26, 2025CLIA 11D2346113 · Waiver
870 LANGLEY FARMS DR, LOGANVILLE, GA 30052(678) 826-7175 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Divine Grace Resource Center Inc NPPES

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

DIVINE GRACE RESOURCE CENTER INC (NPI 1649158635) is a healthcare organization registered as a mental health in Loganville, Georgia and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Mbuyi Kalonji, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649158635
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDIVINE GRACE RESOURCE CENTER INC
Location Address870 LANGLEY FARMS DRLoganville, GA 30052-7960
Mailing Address870 Langley Farms DrLoganville, GA 30052-7960 · (678) 826-7175
Phone(678) 826-7175
Organization SubpartNo
Authorized OfficialMbuyi KalonjiExecutive Director · (678) 826-7175
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1649158635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
870 LANGLEY FARMS DR, Loganville, GA 30052
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2346113

Divine Grace Resource Center Inc · Lawrenceville, GA
Active · expires Jun 23, 2028
CLIA Number11D2346113
Laboratory TypeIndependent
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorMbuyi R. Kalonji
Laboratory Phone(678) 826-7175
Laboratory LocationDivine Grace Resource Center Inc440 South Perry Street, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Grace Resource Center Inc's NPI number?

The NPI number for Divine Grace Resource Center Inc is 1649158635. It was assigned to this organization in the NPPES registry on August 26, 2025.

Where is Divine Grace Resource Center Inc located?

Divine Grace Resource Center Inc is located at 870 Langley Farms Dr, Loganville, GA 30052. The listed phone number is (678) 826-7175.

What is Divine Grace Resource Center Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Divine Grace Resource Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2346113) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Divine Grace Resource Center Inc was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.