Enhanced Destiny Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ENHANCED DESTINY SERVICES

Practice address

406 Rayburn Rd
Carriere, MS 39426-8381

Phone

(601) 590-6526

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Lisa Ellis

Title

Human Resources

Phone

(504) 373-6877

Specialties & licenses 1

Addresses

Tax ID family

Enhanced Destiny Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Enhanced Destiney Services

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1952762205
  NPD tax ID
• Enhanced Destiny Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
  • NPI 1023157302
  NPD tax ID
• Enhanced Destiny Services, Inc

  • Mental Health Counselor
  • New Orleans, LA
  • NPI 1669881173
  NPD tax ID

Practitioners 1

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

• Amanda Taylor

  • Community/Behavioral Health Agency
  • Carriere, MS
  • NPI 1265961023
  NPD (past)

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578097069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 RAYBURN RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 RAYBURN RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268381",
            "telephone_number": "601-590-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED DESTINY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "504-373-6877"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Stewart Carroll, CRNA
• D. L. Moore & Associates, Inc
• Kelly Day, N.P.
• Devereux and Nguyen LLC
• Sara A Duncan, MSN, FNP-C
• Tammy Ruth Ferrell, APRN, FNP
• Forrest County General Hospital
• Wayne E Grayson, MD
• Gregory Goggans, D.M.D., P.C.
• Ahmad A Haidar, MD

• Community/Behavioral Health Agency in Carriere, MS
• Providers in Carriere, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.