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

Q: What is Divine Behavioral Health Clinic PLLC's NPI number?

The NPI number for Divine Behavioral Health Clinic PLLC is 1689456691. It was assigned to this organization in the NPPES registry on October 16, 2023.

Q: What is Divine Behavioral Health Clinic PLLC's specialty?

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

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: August 09, 2026.

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Behavioral Health Clinic PLLC's NPI number?

The NPI number for Divine Behavioral Health Clinic PLLC is 1689456691. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Divine Behavioral Health Clinic PLLC located?

Divine Behavioral Health Clinic PLLC is located at 539 W Commerce St Ste 5507, Dallas, TX 75208. The listed phone number is (817) 874-2965.

What is Divine Behavioral Health Clinic PLLC's specialty?

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

What insurance does Divine Behavioral Health Clinic PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Divine Behavioral Health Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Divine Behavioral Health Clinic PLLC was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.