Destiny Life Solution, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DESTINY LIFE SOLUTION, LLC

Practice address

3A New York Ave
Burlington, NJ 08016-1123

Phone

(609) 510-7817

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Joel Bimba

Title

Ceo/Owner

Phone

(609) 510-7817

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1518729474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3A NEW YORK AVE",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161123",
            "telephone_number": "609-510-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3A NEW YORK AVE",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161123",
            "telephone_number": "609-510-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY LIFE SOLUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "BIMBA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "609-510-7817"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Demarco II, RBT
• Decie Demary, RT
• Victoria Irene Dennison, PA-C
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• Eleanor Deslaurier, LPN
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• Community/Behavioral Health Agency in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.