Destiny's Haven, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

DESTINY'S HAVEN, LLC

Practice address

6736 Pattonsburg Dr
Charlotte, NC 28213-2152

Phone

(980) 949-8686

NPI assigned

Jun 5, 2025

Last updated

Jun 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Colin Pride

Title

Director

Phone

(704) 651-1317

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1316831282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 PATTONSBURG DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132152",
            "telephone_number": "980-949-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6736 PATTONSBURG DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132152",
            "telephone_number": "980-949-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY'S HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "PRIDE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "COLIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-651-1317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.