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Organization

DESTINED PATH THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DESTINY MACK M.S., CCC-SLP (OWNER)
(404) 913-2097
Entity
Organization

Contact information

Practice address
11009 SOUTHWOOD DR, HAMPTON, GA 30228-3498
(404) 913-2097
Mailing address
11009 SOUTHWOOD DR, HAMPTON, GA 30228-3498
(404) 913-2097

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
04/06/2026
Last updated
04/06/2026
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