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KELLY DIVINE
NPI 1740725381
Counselor - Mental Health in Heavener, OK

Active since January 05, 2017
511 E 2ND ST, HEAVENER, OK 74937(918) 653-7718 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Divine NPPES

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

KELLY DIVINE (NPI 1740725381) is an individual mental health provider in Heavener, Oklahoma and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1740725381
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY DIVINE
Location Address511 E 2ND STHeavener, OK 74937-3419
Mailing AddressPo Box 846Heavener, OK 74937-0846
Phone(918) 653-7718
Sole ProprietorNo
Enumeration DateJanuary 5, 2017
✔ NPI 1740725381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
511 E 2ND ST, Heavener, OK 74937
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Other Providers at the Same Location NPPES 20

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

DR. GARY EUGENE YOUREE D.D.S.
Dentist (General Practice)
511 E 2ND ST
HEAVENER, OK 74937
Le Flore County (918) 653-4808
MS. DEBORAH J DOW
Counselor (Mental Health)
511 E 2ND ST
HEAVENER, OK 74937
Le Flore County (918) 653-7450
MISS RAMONA L. RUST RN
Social Worker
511 E 2ND ST
HEAVENER, OK 74937
Le Flore County (918) 653-7718
GARY E. YOUREE D,D.S. PC
Dentist (General Practice)
511 E 2ND ST
HEAVENER, OK 74937
Le Flore County (918) 653-4808
MS. MARY JANE GREEN LPC CANDIDATE
Social Worker
511 E 2ND ST
HEAVENER, OK 74937
Le Flore County (918) 653-7718
ERIC J. MEAD P.L.L.C.
Dentist (General Practice)
511 E 2ND ST
HEAVENER, OK 74937
Le Flore County (918) 653-4808
MS. COURTNEY L. AKINS MS, LPC
Counselor (Mental Health)
511 E 2ND ST
HEAVENER, OK 74937
Le Flore County (918) 653-7718
HANNAH MILLER
Counselor (Mental Health)
511 E 2ND ST
HEAVENER, OK 74937
Le Flore County (918) 653-7718

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 Kelly Divine's NPI number?

The NPI number for Kelly Divine is 1740725381. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Where is Kelly Divine located?

Kelly Divine practices at 511 E 2nd St, Heavener, OK 74937. The listed phone number is (918) 653-7718.

What is Kelly Divine's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Divine was last updated on January 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.