OrganizationActive
A-Divine Residential Solutions
NPI 1568746659 · Mental Illness Community Based Residential Treatment Facility · Longview, TX
Provider details
- NPI number
- 1568746659
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sherri Fluellen, Administrator(903) 315-8542
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 Woodway Ln
Longview, TX 75605-1535
Phone: (903) 315-8542
Street-level locationGet directions
Mailing address
505 Woodway Ln
Longview, TX 75605-1535
Registry dates
- Enumerated
- 2011-10-06
- Last updated
- 2011-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.