| The Destiny Behavioral Health Services | |
|
821 Douglas Ave Suite 185 Altamonte Springs FL 32714-5210 | |
| (407) 703-5959 | |
| (407) 814-3863 |
| Full Name | The Destiny Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 821 Douglas Ave, Altamonte Springs, Florida |
| Authorized Official Name and Position | Lorna D Holmes (PRESIDENT) |
| Authorized Official Contact | 4077035959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Destiny Behavioral Health Services 821 Douglas Ave Suite 185 Altamonte Springs FL 32714-5210 Ph: (407) 703-5959 | The Destiny Behavioral Health Services 821 Douglas Ave Suite 185 Altamonte Springs FL 32714-5210 Ph: (407) 703-5959 |
| NPI Number | 1548608441 |
|---|---|
| Provider Enumeration Date | 06/13/2013 |
| Last Update Date | 06/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548608441 | NPI | - | NPPES |
| 003564600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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