Divine Health Group LLC

NPI #1164120796 in La Junta, Colorado

Provider Information

NPI Number: 1164120796
Entity Type: Organization
Organization Name: Divine Health Group LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 22, 2023
Last Updated: Jul 18, 2025

Practice Location

Address: 1206 E 3RD ST
City: La Junta
State: Colorado
ZIP Code: 81050-1907
Phone: (719) 413-5261

Authorized Official

Name: CHEYENNE ELAINE SHIPMAN, PMHNP-BC
Title: OWNER
Phone: (719) 413-5261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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