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DiVine Interventions Behavioral Health, LLC

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Company Details

Name: DiVine Interventions Behavioral Health, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 28 Jul 2020 (5 years ago)
Business ID: 1222066
ZIP code: 39150
County: Claiborne
State of Incorporation: MISSISSIPPI
Principal Office Address: 507 Market StPort Gibson, MS 39150

Agent

Name Role Address
Chasity Davis Agent 10 Canebrake Blvd Suite 110-17, Flowood, MS 39232

Organizer

Name Role Address
Chasity Davis Organizer 106 Ethel Dr., Vicksburg, MS 39180

Manager

Name Role Address
Chasity Davis Manager PO Box 821878, Vicksburg, MS 39182

National Provider Identifier

NPI Number:
1942813597
Certification Date:
2022-10-12

Authorized Person:

Name:
CHASITY DAVIS
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
8444440779

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-11 Annual Report For DiVine Interventions Behavioral Health, LLC
Annual Report LLC Filed 2024-04-11 Annual Report For DiVine Interventions Behavioral Health, LLC
Annual Report LLC Filed 2023-01-19 Annual Report For DiVine Interventions Behavioral Health, LLC
Amendment Form Filed 2022-10-25 Amendment For DiVine Interventions Behavioral Health, LLC
Annual Report LLC Filed 2022-04-18 Annual Report For DiVine Interventions Behavioral Health, LLC
Annual Report LLC Filed 2021-06-10 Annual Report For DiVine Interventions Behavioral Health, LLC
Formation Form Filed 2020-07-09 Formation For DiVine Interventions Behavioral Health, LLC

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Date of last update: 08 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website