Destiny Therapeutic Services Llc

LBN: Destiny Therapeutic Services Llc
Destiny Therapeutic Services Llc is an health care organization with primary practice located at 4186 Okeechobee Road Suite 77, Fort Pierce FL 34947. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Destiny Therapeutic Services Llc can be contacted via phone (772) 359-1267, or through Chatman, Laronda via phone (772) 359-1267.

Contact Information

Primary practice address
4186 Okeechobee Road Suite 77 Fort Pierce FL 34947
Phone: (772) 359-1267
Fax: (772) 264-8224
Website:
Map and Directions
Authorized official contact:
Name: Chatman, Laronda
Phone: (772) 359-1267

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1982330353
LBN Legal business name Destiny Therapeutic Services Llc
DBA Doing business as
Authorized official Chatman, Laronda
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2022
Last updated Jul 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982330353 NPPES
Florida MEDICAID 111187900

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