Diviney, Charles L

Diviney, Charles L is an sole proprietor health care provider with primary practice located at 352 Denver St Suite 215, Salt Lake City UT 84111-3000. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Diviney, Charles L can be contacted via phone (801) 521-4227.

Contact Information

Primary practice address
352 Denver St Suite 215 Salt Lake City UT 84111-3000
Phone: (801) 521-4227
Fax: (801) 359-0777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 340426-6004 Utah
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 340426-6004 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 340426-6004 Utah

Profile Details

NPI number 1174588230
LBN Legal business name Diviney, Charles L
Credentials MC, LPC, NCC, CCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Jul 7th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174588230 NPPES
Utah Other 34042660001001 BCBS

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