| Divine Destiny Counseling Services Llc | |
|
3545 Business 27 Buchanan GA 30113-4811 | |
| (678) 238-4930 | |
| (678) 693-7962 |
| Full Name | Divine Destiny Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3545 Business 27, Buchanan, Georgia |
| Authorized Official Name and Position | Mary Elizabeth Catalino (OWNER) |
| Authorized Official Contact | 6782384930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Destiny Counseling Services Llc 4273 Sterling Pointe Dr Douglasville GA 30135-5035 Ph: (678) 238-4930 | Divine Destiny Counseling Services Llc 3545 Business 27 Buchanan GA 30113-4811 Ph: (678) 238-4930 |
| NPI Number | 1750277968 |
|---|---|
| Provider Enumeration Date | 06/16/2025 |
| Last Update Date | 07/10/2025 |
| Certification Date | 07/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750277968 | NPI | - | NPPES |
| 003320893B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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