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

Divine Life LLC

Organization Mental Health Counselor · NPI 1992538052

Divine Life LLC is a Mental Health Counselor in Elk River, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

506 Freeport Ave NW
Elk River, MN 55330-4611
Phone: (763) 200-4006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1992538052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Torkelson — Ceo · (763) 200-4006
NPI enumeratedAugust 23, 2024
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address506 Freeport Ave Nw, Elk River, MN 55330-4611

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