Destine for Greatness, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DESTINE FOR GREATNESS, LLC

Doing business as

None

Practice address

1035 Bryce LN
Virginia Beach, VA 23464-4500

Phone

(757) 355-2215

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Brown Moore

Title

Owner

Phone

(757) 355-2215

Specialties & licenses 1

Addresses

Other names 1

• None Doing business as

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1942855622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 BRYCE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644500",
            "telephone_number": "757-355-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BRYCE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644500",
            "telephone_number": "757-355-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINE FOR GREATNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-355-2215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suhas L Deshmukh, M.D.
• Desire Haven LLC
• Renee Lea Desjarlais, M.S., CCC-SLP
• Mary Vaughn S Desoto, M.D.
• Brian J Dessel, HM1 IDC, USN
• Destined Beginnings LLC
• Destined for Brighter Futures Foundation LLC
• Destiny Home Health Care
• Rachel A Detrick, PA
• Christina L. Dettbarn, MS, CCC-SLP

• Adult Mental Health Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.