THE GREAT DIVINE CENTER LLC
NPI 1902558091
Counselor - Mental Health in Detroit, MI

Active since January 20, 2022
17169 E WARREN AVE, DETROIT, MI 48224(313) 480-4766 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Great Divine Center Llc NPPES

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

THE GREAT DIVINE CENTER LLC (NPI 1902558091) is a healthcare organization registered as a mental health in Detroit, Michigan and active in the NPI registry since January 2022. The organization lists Kymaletha Brown, Counselor/owner, as its authorized official.

NPPES Registry Identity

NPI1902558091
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTHE GREAT DIVINE CENTER LLC
Location Address17169 E WARREN AVEDetroit, MI 48224-2279
Mailing Address17163 E Warren AveDetroit, MI 48224-2279 · (313) 480-4766
Organization SubpartNo
Authorized OfficialKymaletha BrownCounselor/owner · (313) 480-4766
Enumeration DateJanuary 20, 2022
NPPES CertifiedJanuary 8, 2022
NPI 1902558091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
17169 E WARREN AVE, Detroit, MI 48224

Other Providers at the Same Location NPPES 3

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

Case Management
17169 E WARREN AVE
DETROIT, MI 48224
Counselor (Professional)
17169 E WARREN AVE
DETROIT, MI 48224
Registered Nurse
17169 E WARREN AVE
DETROIT, MI 48224

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 The Great Divine Center LLC's NPI number?

The NPI number for The Great Divine Center LLC is 1902558091. It was assigned to this organization in the NPPES registry on January 20, 2022.

Where is The Great Divine Center LLC located?

The Great Divine Center LLC is located at 17169 E Warren Ave, Detroit, MI 48224. The listed phone number is (313) 480-4766.

What is The Great Divine Center LLC'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 The Great Divine Center LLC was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.