Organization · NPI-2

Divine Purpose Services Limited LLC

Private Vehicle · Gastonia, NC

NPI number1174897391

StatusActive

Last updated in NPPESJul 30, 2026

Details

NPI: 1174897391
Entity type: Organization (NPI-2)
Legal business name: Divine Purpose Services Limited LLC
Organization subpart: No
Enumeration date: Mar 6, 2012
Certification date: Jul 30, 2026
Last updated: Jul 30, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
347C00000X	Private Vehicle	–	–	Yes
101YP2500X	Counselor, Professional	–	NC
171M00000X	Case Manager/Care Coordinator	–	–
207R00000X	Internal Medicine	–	NC
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
251S00000X	Community/Behavioral Health	–	–
253Z00000X	In Home Supportive Care	–	–
261QA0600X	Clinic/Center, Adult Day Care	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
291U00000X	Clinical Medical Laboratory	–	–
311Z00000X	Custodial Care Facility	–	–
311ZA0620X	Custodial Care Facility, Adult Care Home	–	–
315P00000X	Intermediate Care Facility, Intellectual Disabilities	–	–
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–

Practice location

3201 Pikes Peak Dr
Gastonia, NC 28052-5441

Phone 704-300-5544 · Fax 704-270-9504

Mailing address

3201 Pikes Peak Dr
Gastonia, NC 28052-5441

Phone 704-300-5544 · Fax 704-270-9504

Authorized official

Brandy N Ussery
Owner
7043005544

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