Destiny Enterprises

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

00099158 Issued in MI

Legal business name

DESTINY ENTERPRISES

Practice address

7226 Lebanon TRL
Davison, MI 48423-2300

Phone

(810) 820-7435

Fax

(810) 820-7438

NPI assigned

Jul 13, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jessica McNayr, CRC, LLPC

Title

President

Phone

(810) 820-7435

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1265744775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7226 LEBANON TRL",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232300",
            "telephone_number": "810-820-7435",
            "fax_number": "810-820-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7226 LEBANON TRL",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232300",
            "telephone_number": "810-820-7435",
            "fax_number": "810-820-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "MCNAYR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-820-7435",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRC, LLPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401010253",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "00099158",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "00099158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davison Urgent Care PC
• Davison Vision Center LLC
• Scott Delange, DPT
• Julie Derby
• Erin Renee Desgrange, COTA-L
• Deborah Lynn Dimond, ANP-BC
• Brianna F Dixon, MA, LPC
• Dessie Renee Dixon, RDH
• Alexis Dodgin, BCABA, LABA
• Samantha Domke, PT DPT

• Community/Behavioral Health Agency in Davison, MI
• Providers in Davison, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.