Destined for Brighter Futures Foundation LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DESTINED FOR BRIGHTER FUTURES FOUNDATION LLC

Practice address

900 Commonwealth PL Ste 225
Virginia Beach, VA 23464-4517

Phone

(757) 239-9125

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Davida FaltzNPI 1790356418

Title

Ceo

Phone

(757) 239-9125

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Davida Faltz

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1790356418
  NPD Authorized official
• Shanita Mallory, LPC

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1477185098
  NPD (past)

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1982367801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COMMONWEALTH PL STE 225",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644517",
            "telephone_number": "757-239-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COMMONWEALTH PL STE 225",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644517",
            "telephone_number": "757-239-9125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 Ballard Ct Ste 105",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234626538",
            "country_code": "US",
            "telephone_number": "757-239-9767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESTINED FOR BRIGHTER FUTURES FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "FALTZ",
        "authorized_official_first_name": "DAVIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-239-9125",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Lea Desjarlais, M.S., CCC-SLP
• Mary Vaughn S Desoto, M.D.
• Brian J Dessel, HM1 IDC, USN
• Destine for Greatness, LLC (None)
• Destined Beginnings LLC
• Destiny Home Health Care
• Rachel A Detrick, PA
• Christina L. Dettbarn, MS, CCC-SLP
• Gary Robert Detweiler, D.C.
• Melanie C Detweiler, D.D.S.

• Community/Behavioral Health Agency in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.