Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTINATION LIFE LLC-S
Active OrganizationDESTINATION LIFE LLC-S is a Psychiatric/Mental Health, Child & Adolescent CNS organization located in ELLISVILLE, Mississippi. NPI 1023625894 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Child & Adolescent CNS · ELLISVILLE, MS
Registration Details
- NPI Number
- 1023625894
- Provider Type
- Organization
- NPI Issued
- Sep 25, 2020 (5.7015342356862 yrs)
- Last Updated
- Jul 30, 2021
Practice Information
- Address
-
7 JONATHAN WAYELLISVILLE, MS, 394375195Browse MS providers · Browse ZIP 39437
- Phone
- 8174731312
- Fax
- 8669902813
- Primary Specialty
-
Psychiatric/Mental Health, Child & Adolescent CNS
364SP0807X
- Additional Specialty
- Psychiatric/Mental Health Nurse
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Mental Health Occupational Therapist
- Additional Specialty
- Primary Care Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.