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DIVINE BEHAVIORAL HEALTH CLINIC PLLC
NPI 1689456691
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since October 16, 2023
539 W COMMERCE ST STE 5507, DALLAS, TX 75208(817) 874-2965 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Divine Behavioral Health Clinic Pllc NPPES

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

DIVINE BEHAVIORAL HEALTH CLINIC PLLC (NPI 1689456691) is a healthcare organization registered as a psychiatric/mental health in Dallas, Texas and active in the NPI registry since October 2023. The organization lists Ijeoma E Osuji, Owner, as its authorized official.

NPPES Registry Identity

NPI1689456691
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDIVINE BEHAVIORAL HEALTH CLINIC PLLC
Location Address539 W COMMERCE ST STE 5507Dallas, TX 75208-1953
Mailing Address803 Meryton CtMansfield, TX 76063-4337 · (178) 742-9658
Phone(817) 874-2965
Organization SubpartNo
Authorized OfficialIjeoma E OsujiOwner · (817) 874-2965
Enumeration DateOctober 16, 2023
Last NPPES UpdateOctober 19, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1689456691 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
539 W COMMERCE ST STE 5507, Dallas, TX 75208
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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

Accepted Insurance

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

Frequently Asked Questions

What is DIVINE BEHAVIORAL HEALTH CLINIC PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1689456691, enumerated as an "organization" on October 16, 2023.

Where is the provider located?

The provider is located at 539 W COMMERCE ST STE 5507 DALLAS, TX 75208 and the phone number is (817) 874-2965.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

What insurance does DIVINE BEHAVIORAL HEALTH CLINIC PLLC accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.