Organization Active NPI

The Destiny Behavioral Health Services

  • Community/Behavioral Health Agency
  • Altamonte Springs, FL
National Provider Identifier
1548608441
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE DESTINY BEHAVIORAL HEALTH SERVICES
Practice address
821 Douglas Ave
Suite 185
Altamonte Springs, FL 32714-5210
Phone
(407) 703-5959
Fax
(407) 814-3863
NPI assigned
Jun 13, 2013
Organization subpart
Yes
Parent organization
THE DESTINY TCM CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Ms. Lorna D Holmes
Title
President
Phone
(407) 703-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

821 Douglas Ave
Suite 185
Altamonte Springs, FL 32714-5210

Mailing address

821 Douglas Ave
Suite 185
Altamonte Springs, FL 32714-5210
Phone (407) 703-5959

Other identifiers 1

IdentifierTypeStateIssuer
003564600MedicaidFL

National Provider Directory

National Provider Directory
Part of
Linked Targeted Case Management Services Inc

Locations

821 Douglas Ave
Ste 185
Altamonte Springs, FL 32714
Phone (407) 703-5959

Practitioners & affiliated clinicians

Practitioners 6

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": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1548608441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 DOUGLAS AVE",
            "address_2": "SUITE 185",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145210",
            "telephone_number": "407-703-5959",
            "fax_number": "407-814-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 DOUGLAS AVE",
            "address_2": "SUITE 185",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145210",
            "telephone_number": "407-703-5959",
            "fax_number": "407-814-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DESTINY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DESTINY TCM CORPORATION",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-703-5959",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003564600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.