Organization · NPI-2
Divine Youth Guidance LLC
Home Health · San Antonio, TX
NPI number1659129088
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1659129088
- Entity type
- Organization (NPI-2)
- Legal business name
- Divine Youth Guidance LLC
- Organization subpart
- No
- Enumeration date
- May 9, 2024
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
3700 Fredericksburg Rd Ste 108San Antonio, TX 78201-3266
Phone 210-717-4999
Mailing address
3700 Fredericksburg Rd Ste 108San Antonio, TX 78201-3266
Phone 210-717-4999
Authorized official
Julissa Rowe
Owner
2107174999
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