Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divergent Dietitian

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1083463749

Divergent Dietitian is an Adolescent and Children Mental Health Clinic/Center in Perrysburg, Ohio. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

308 Louisiana Ave
Perrysburg, OH 43551-1461
Phone: (567) 801-0792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X

Record details

NPI number1083463749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bethany Dario — Owner · (419) 410-3541
NPI enumeratedMay 15, 2024
Last updated in NPPESSeptember 11, 2025
Certification dateMay 15, 2024
Mailing address308 Louisiana Ave, Perrysburg, OH 43551-1461

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