Destiny Ife Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PC006243 Issued in PA

Legal business name

DESTINY IFE INC

Practice address

1218 Hale St
Philadelphia, PA 19111-5830

Phone

(215) 834-9565

NPI assigned

Feb 13, 2014

Organization subpart

Yes

Parent organization

DESTINY IFE INCAs reported in NPPES

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

Authorized official

Name

Melissa Evette Garrett-Omodeoye, LPC

Title

President/Therapist

Phone

(215) 834-9565

Specialties & licenses 1

Addresses

Other names 1

• Resiliency Life Counseling Services Other name

Part of

Destiny Ife Inc

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1750705539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 HALE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115831",
            "telephone_number": "215-834-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 HALE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115830",
            "telephone_number": "215-834-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY IFE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESTINY IFE INC",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "GARRETT-OMODEOYE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "215-834-9565",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC006243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resiliency Life Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elilta Desta
• Ed J Destefano, CRNA
• Nicole Destefano, CRNP
• Michael Anthony Destefon, OTR
• Destiny Homecare, LLC.
• Destiny Pharmacy of America Inc.
• Destiny'S Gift
• Gladys Desvarieux
• Detention Management Solutions
• Matthew Detore, MPT

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

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