Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
DESTINATION LIFE LLC-S
Active
Organization
DESTINATION LIFE LLC-S
Active
Other names
SaJourney
Organization subpart
No
Provider details
NPI number
Authorized official
ZEMELDA D. CARR (ADM)
(817) 473-1312
Entity
Organization
Contact information
Practice address
7 JONATHAN WAY, ELLISVILLE, MS 39437-5195
(817) 473-1312
(866) 990-2813
Mailing address
2001 SE GREEN OAK BLVD STE 130, ARLINGTON, TX 76018-0952
(817) 473-1312
(866) 990-2813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
225X00000X
Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
291U00000X
Clinical Medical Laboratory
—
—
363L00000X
Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03320311
—
MS
01
—
1C5803
GROUP
TX
01
—
25D2200016
CLIA
MS
Enumeration date
09/25/2020
Last updated
07/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up