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

Divine Healing Space, PLLC

Organization Clinical Social Worker · NPI 1417521907

Divine Healing Space, PLLC is a Clinical Social Worker in Dallas, Texas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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

12222 Merit Dr # 130
Dallas, TX 75251-2217
Phone: (504) 410-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1417521907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jasmine Battles — Owner/ Clinical Social Worker · (504) 410-0031
NPI enumeratedMay 18, 2021
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address12222 Merit Dr # 130, Dallas, TX 75251-2217

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