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Contact Information

CHARLES L DIVINEY III, MC, LPC, NCC, LLC, DBA CLD3 COUNSELING
LBN CLD3 COUNSELING
352 SOUTH DENVER STREET
SUITE 215
SALT LAKE CITY, UT84111
 Phone: 801-521-4227
 Fax: 801-359-0777
 Website: http://www.cld3.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for CHARLES L DIVINEY III MC LPC NCC LLC DBA CLD3 COUNSELING CLD3 COUNSELING · (Female)

NPI Number 1235447772
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2010
Last updated 10/02/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 210158-4405
  • UT License # 340426-6004
  • UT License # 5170621-6004
  • UT License # 6281940-3501
  • UT Other 340426600001001 BCBS UT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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