Destinys Doors LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

14011940 Issued in GA

Legal business name

DESTINYS DOORS LLC

Practice address

3781 Presidential Pkwy Ste 106
Atlanta, GA 30340-3702

Phone

(470) 554-0206

NPI assigned

Feb 7, 2014

Last updated

Feb 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Shawnta Welch

Title

Ceo

Phone

(470) 554-0206

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1720402928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 PRESIDENTIAL PKWY STE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 PRESIDENTIAL PKWY STE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403702",
            "telephone_number": "470-554-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINYS DOORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "SHAWNTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-554-0206",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "14011940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destination Greatness-Georgia, LLC
• Destination Unlimited Clinical Services, LLC
• Tasha Nehemie Destine
• Destiny Family Medical Center, LLC
• Destiny's Child Inc (dba VFWC)
• John R. Destito, DO
• Kim Desue
• Richard L Detlefs, M.D.
• Mara Detrani, PA
• Matthew Robert Detter, MD, PHD

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.