Destini Therapeutic Services

LBN: Destini Therapeutic Services
Destini Therapeutic Services is an health care organization with primary practice located at 3152 Halifax Rd Ste E , South Boston VA 24592-4906. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Destini Therapeutic Services can be contacted via phone (434) 575-0855, or through Mangum, Jennifer via phone (434) 575-0855.

Contact Information

Primary practice address
3152 Halifax Rd Ste E South Boston VA 24592-4906
Phone: (434) 575-0855
Fax: (434) 207-6164
Website:
Map and Directions
Authorized official contact:
Name: Mangum, Jennifer
Phone: (434) 575-0855

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1275833774
LBN Legal business name Destini Therapeutic Services
DBA Doing business as
Authorized official Mangum, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2010
Last updated Feb 14th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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