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

Divinity LLC

Organization Psychiatry Physician · NPI 1013803360

Divinity LLC is a Psychiatry Physician in Loon Lake, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3957 Garden Spot Rd
Loon Lake, WA 99148-9750
Phone: (509) 990-9416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1013803360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Kenyon-Miller — Owner · (509) 990-9416
Other names Divinity
NPI enumeratedJune 14, 2025
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing addressPo Box 1037, Loon Lake, WA 99148-1037