Organization
DESTINED 2 MAKE IT, LLC
Active
Other names
Destined2 Make It
Organization subpart
No
Provider details
NPI number
Authorized official
DELBERT ALEXANDER TOWNSEND CERTIFIED (PEER SUPPORT SPECIALIST)
(704) 962-5290
Entity
Organization
Contact information
Practice address
3117 WHITING AVE, CHARLOTTE, NC 28205-1648
(704) 962-5290
(336) 900-1666
Mailing address
3117 WHITING AVE, CHARLOTTE, NC 28205-1648
(704) 962-5290
(336) 900-1666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
06/23/2025
Last updated
08/11/2026
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