| Organization Name: | DIVINE COUNSELING & CONSULTING SERVICES, PLLC |
| NPI Number: | 1558776120 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE LYNN BEEMAN (OWNER) |
| Mailing Address: | 110 2nd St S Suite 222 Waite Park |
| State: | MN US |
| Postal Code: | 563871662 |
| Phone Number: | 3202597022 |
| Fax Number: | 3207597059 |
| NPI Enumeration Date: | 06/23/2014 |
| NPI Last Update Date: | 06/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 00056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |