National Provider Identifier Database

DIVINE INTERACTIONS EQUINE FACILITATED WELLNESS LLC
Mental Health (Including Community Mental Health Center)


Contact Information

DIVINE INTERACTIONS EQUINE FACILITATED WELLNESS, LLC
1719 QUARRY LANE
APOLLO, PA15613
Phone: 724-858-7204
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for DIVINE INTERACTIONS EQUINE FACILITATED WELLNESS, LLC

NPI Number 1932697422
Legal business name
LBN
DIVINE INTERACTIONS EQUINE FACILITATED WELLNESS, LLC
Authorized official SHANNA AUGHENBAUGH - (SOLE MEMBER)
Entity Organization
Organization subpart No
Enumeration date 04/30/2018
Last updated 04/30/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: PC009805
  • PA Other: 1891206850 LICENSED PROFESSIONAL COUNSELOR

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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