Destination Wellness Therapy PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DESTINATION WELLNESS THERAPY PLLC

Practice address

108 Giles Ave Ste 102
Wilmington, NC 28403-4759

Phone

(252) 560-0777

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Lindsay HayesNPI 1700404555

Title

Owner

Phone

(252) 560-0777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Lindsay Elizabeth Hayes, MSW, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1700404555
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1497576680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 SOFT SKY LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284095831",
            "telephone_number": "252-560-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GILES AVE STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034759",
            "telephone_number": "252-560-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATION WELLNESS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-560-0777"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Desmet, P.A.-C
• Policarpo Rodney Despaigne, PA-C
• Emily Despain, LCMHC-A
• Danielle Antoinette Dest, LCSW
• Heather R. Dest, LCSW
• Destined Care LLC
• Roxanne S. Devane, RN, FNP
• Jennifer Devers, P.T.
• William Shane Devers, P.T.
• Diana Shawn Deviney, CNM

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.