DIVINE INTERVENTIONS – NPI #1407020993
Clinic/Center

DIVINE INTERVENTIONS is an AHC clinic located in GROSSE POINTE WOODS, MI. NPPES has assigned the NPI number 1407020993 to DIVINE INTERVENTIONS on April 16, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DIVINE INTERVENTIONS” is a dba name, the actual legal business name for this organization is THE HEALING PALACE INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 4 years ago on Nov 04, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIVINE INTERVENTIONS below.

NPI Profile for
THE HEALING PALACE INC

NPI Number
1407020993
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE HEALING PALACE INC
Doing Business As (dba): DIVINE INTERVENTIONS
Primary location
2089 ANITA AVE
GROSSE POINTE WOODS, MI 48236-1427
Phone: (313) 459-6707 Fax: (313) 731-0360
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHONTAY TAYLOR GLENN
FOUNDER AND CEO
Phone: (313) 459-6707
Updated
Certification Date
Nov 04, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.