Destination Life Llc-S

NPI #1023625894 in Ellisville, Mississippi

Provider Information

NPI Number
1023625894
Entity Type
Organization
Organization Name
Destination Life Llc-S
Primary Specialty
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent
Enumeration Date
Sep 25, 2020
Last Updated
Jul 30, 2021

Practice Location

Address
7 JONATHAN WAY
ZIP Code
39437-5195
Phone
(817) 473-1312

Authorized Official

Name
ZEMELDA D. CARR
Title
ADM
Phone
(817) 473-1312

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Registered Nurse - Psychiatric/Mental Health, Child & AdolescentPsychiatric/Mental Health, Child & Adolescent
Occupational Therapist
Occupational Therapist - Mental HealthMental Health
Clinic/Center - Primary CarePrimary Care
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Clinical Medical Laboratory
Nurse Practitioner
Nurse Practitioner - Community HealthCommunity Health
Nurse Practitioner - FamilyFamily
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health
Nurse Practitioner - Women's HealthWomen's Health
Clinical Nurse Specialist
Clinical Nurse Specialist - Psychiatric/Mental HealthPsychiatric/Mental Health
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & AdolescentPsychiatric/Mental Health, Child & Adolescent

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