Organization Active NPI

Destin Family Solutions

  • Marriage & Family Therapist
  • Brandon, FL
National Provider Identifier
1386040558
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT 1842 Issued in FL
Legal business name
DESTIN FAMILY SOLUTIONS
Practice address
211 Lithia Pinecrest Rd
Brandon, FL 33511-5307
Phone
(813) 322-3262
NPI assigned
Nov 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Marietha DestinNPI 1811295959
Title
Owner
Phone
(813) 322-3262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X IMT 1842 FL Primary

Addresses

Primary practice location

211 Lithia Pinecrest Rd
Brandon, FL 33511-5307

Mailing address

PO Box 145
Valrico, FL 33595-0145

National Provider Directory

National Provider Directory

Locations

211 Lithia Pinecrest Rd
Brandon, FL 33511
Phone (813) 322-3262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1386040558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335950145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LITHIA PINECREST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115307",
            "telephone_number": "813-322-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN FAMILY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "DESTIN",
        "authorized_official_first_name": "MARIETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-322-3262"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT 1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.