# THE DESTINY TCM CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487917258
- **Authorized official:** LORNA D HOLMES (PRESIDENT AND CEO)
- **Authorized official phone:** (407) 703-5959

## Contact information

- **Practice address:** 901 DOUGLAS AVE STE 205, ALTAMONTE SPRINGS, FL 32714-2057
- **Practice address phone:** (407) 703-5959
- **Mailing address:** 901 DOUGLAS AVE STE 205, ALTAMONTE SPRINGS, FL 32714-2057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2012
- **Last updated:** 06/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003564600 | — | FL |