Destiny League

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DESTINY LEAGUE

Doing business as

Destiny League

Practice address

8201 Corporate Dr Ste 630
Hyattsville, MD 20785-2371

Phone

(410) 213-5494

NPI assigned

Aug 30, 2022

Organization subpart

Yes

Parent organization

DESTINY LEAGUE FOUNDATION INCAs reported in NPPES

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

Authorized official

Name

Obi Herberts

Title

Executive Director

Phone

(202) 644-6886

Specialties & licenses 1

Addresses

Other names 1

• Destiny League Doing business as

Part of

Destiny League

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1740900778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 CORPORATE DR STE 630",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852371",
            "telephone_number": "410-213-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 CORPORATE DR STE 630",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852371",
            "telephone_number": "410-213-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY LEAGUE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESTINY LEAGUE FOUNDATION INC",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "HERBERTS",
        "authorized_official_first_name": "OBI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-644-6886"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destiny League",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dependable Medical Transport
• Asnakech Derbie
• Kavit Desai
• Marlene Gabriel Desamito, M.D.
• Destined Inspirations Counseling, LLC
• Destiny Security Group LLC (Destiny Health Security)
• Jeanne Chantal Deussom
• Sundara J Devaraj
• Urmie S. Dhanilal, LGPC
• Aska Dharod

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.