| Divine Design Psychotherapy Pllc | |
|
1735 S Kensington Ave Kankakee IL 60901-8095 | |
| (815) 545-6701 | |
| (510) 370-4034 |
| Full Name | Divine Design Psychotherapy Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1735 S Kensington Ave, Kankakee, Illinois |
| Authorized Official Name and Position | Robyn Caravello (MANAGING MEMBER) |
| Authorized Official Contact | 8155456701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Design Psychotherapy Pllc 1735 S Kensington Ave Kankakee IL 60901-8095 Ph: (815) 545-6701 | Divine Design Psychotherapy Pllc 1735 S Kensington Ave Kankakee IL 60901-8095 Ph: (815) 545-6701 |
| NPI Number | 1679491823 |
|---|---|
| Provider Enumeration Date | 07/07/2026 |
| Last Update Date | 07/07/2026 |
| Certification Date | 07/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679491823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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