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

Divine Design Psychiatry and Wellness PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1104779750

Divine Design Psychiatry and Wellness PLLC is a Psychiatric/Mental Health Nurse Practitioner in O Fallon, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

853 Chesapeake Junction Ln
O Fallon, IL 62269-7035
Phone: (217) 816-7928
Fax: (616) 208-2675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1104779750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Severado — Nurse Practitioner/Owner · (217) 816-7928
NPI enumeratedFebruary 16, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address853 Chesapeake Junction Ln, O Fallon, IL 62269-7035

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