Organization Active NPI

Creating New Destinies, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1649503087
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
24701 Issued in NC
Legal business name
CREATING NEW DESTINIES, LLC
Practice address
3326 Guess Rd
Suite 101
Durham, NC 27705-2160
Phone
(919) 824-3003
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Ms. Joann Venable
Title
Owner/Member Organizer
Phone
(919) 824-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 24701 NC Primary

Addresses

Primary practice location

3326 Guess Rd
Suite 101
Durham, NC 27705-2160

Mailing address

3326 Guess Rd
Suite 101
Durham, NC 27705-2160

National Provider Directory

National Provider Directory

Locations

3326 Guess Rd
Ste 101
Durham, NC 27705
Phone (919) 345-7704

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1649503087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 GUESS RD",
            "address_2": "SUITE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 GUESS RD",
            "address_2": "SUITE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052160",
            "telephone_number": "919-824-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING NEW DESTINIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "VENABLE",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER/MEMBER ORGANIZER",
        "authorized_official_telephone_number": "919-824-3003",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "24701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.