Destination Life Llc-S
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent
About Destination Life Llc-S
Destination Life Llc-S is a healthcare organization providing Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent services, with specialized expertise in Psychiatric/Mental Health, Child & Adolescent, registered under National Provider Identifier (NPI) number 1023625894.
The authorized official for Destination Life Llc-S is ZEMELDA CARR. The organization is headquartered at 7 JONATHAN WAY, Ellisville, Mississippi 39437. The main office can be reached at (817) 473-1312.
Destination Life Llc-S has been NPI-registered since 2020.
Locations & Contact
Primary Location
- Address
- 7 JONATHAN WAY
- City
- Ellisville
- State
- Mississippi
- ZIP
- 39437-5195
- Phone
- (817) 473-1312
- Fax
- (866) 990-2813
Authorized Official
- Name
- ZEMELDA CARR
Mailing Address
- Address
- 2001 SE GREEN OAK BLVD STE 130
- City
- ARLINGTON
- State
- TX
- ZIP
- 760180952
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent
- Classification
- Clinical Nurse Specialist
- Specialization
- Psychiatric/Mental Health, Child & Adolescent
- Taxonomy Code
- 364SP0807X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Destination Life Llc-S's NPI number?
What does Destination Life Llc-S specialize in?
Where is Destination Life Llc-S located?
Does Destination Life Llc-S accept Medicare?
Does Destination Life Llc-S offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Destination Life Llc-S holds NPI 1023625894, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.