Destini Therapeutic Services
NPI #1275833774 in South Boston, Virginia
Provider Information
- NPI Number
- 1275833774
- Entity Type
- Organization
- Organization Name
- Destini Therapeutic Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 30, 2010
- Last Updated
- Feb 14, 2014
Practice Location
- Address
- 3152 HALIFAX RD STE E
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-4906
- Phone
- (434) 575-0855
Authorized Official
- Name
- JENNIFER MANGUM
- Title
- CEO
- Phone
- (434) 575-0855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Psychologist - Counseling — Counseling |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Day Training, Developmentally Disabled Services |
| Community/Behavioral Health |
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