Organization · NPI-2
Devine Synergy Lcc
Community/Behavioral Health · White Plains, MD
NPI number1477437291
StatusActive
Last updated in NPPESAug 4, 2025
Details
- NPI
- 1477437291
- Entity type
- Organization (NPI-2)
- Legal business name
- Devine Synergy Lcc
- Organization subpart
- No
- Enumeration date
- Aug 4, 2025
- Certification date
- Aug 4, 2025
- Last updated
- Aug 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Devine Synergy Lcc (Doing Business As)
Practice location
10665 Stanhaven PlWhite Plains, MD 20695-3055
Phone 443-992-0069
Mailing address
10665 Stanhaven PlWhite Plains, MD 20695-3055
Phone 443-992-0069
Authorized official
Shirome Reed
Coo
4439920069
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