DESTINATION LIFE LLC-S

ELLISVILLE, MS
NPI1023625894
Doing Business AsSAJOURNEY
Entity TypeOrganization
Authorized ContactZEMELDA D. CARR
Adm
817-473-1312
Organization Subpart ?No
Primary Taxonomy364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent
Additional Taxonomies1041C0700X Social Worker, Clinical
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
225X00000X Occupational Therapist
225XM0800X Occupational Therapist, Mental Health
261QP2300X Clinic/Center, Primary Care
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
291U00000X Clinical Medical Laboratory
363L00000X Nurse Practitioner
363LC1500X Nurse Practitioner, Community Health
363LF0000X Nurse Practitioner, Family
363LP0808X Nurse Practitioner, Psych/Mental Health
363LW0102X Nurse Practitioner, Women's Health
364S00000X Clinical Nurse Specialist
364SP0808X Clinical Nurse Specialist, Psych/Mental Health
Enumeration Date2020-09-25
Last Update Date2021-07-30
Business Address
DESTINATION LIFE LLC-S
7 JONATHAN WAY
ELLISVILLE, MS 39437-5195
Phone number: 817-473-1312
Mailing Address
DESTINATION LIFE LLC-S
2001 SE GREEN OAK BLVD STE 130
ARLINGTON, TX 76018-0952
Phone number: 817-473-1312