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Divine Health Medical and Spa LLC

Primary Care Clinic/Center in Rockville, MD · enumerated 2022 · authorized official Sally Young, Educator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790428555

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Registry record

Entity type Organization (Type 2)
Legal business name Divine Health Medical and Spa LLC
Practice address 11119 Rockville Pike Ste 320, Rockville, MD, 20852
Phone (240) 669-6598
Fax (240) 669-6079
Enumeration date Apr 19, 2022
Last updated in NPPES Jul 14, 2022

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Sally Young
Title Educator
Phone (240) 437-9997

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Divine Health Medical and Spa LLC?
NPPES lists Sally Young (Educator) as the authorized official for this organization.
What is the NPI number for Divine Health Medical and Spa LLC?
The NPI for Divine Health Medical and Spa LLC is 1790428555, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-14.