Organization
DESTINY PLACE LLC
Active
Organization
DESTINY PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH COLEMAN ROUNDTREE MA (CEO)
(703) 371-3421
Entity
Organization
Contact information
Practice address
5319 SENTRY LN, WOODBRIDGE, VA 22193-3431
(703) 371-3421
Mailing address
17964 SWANS CREEK LN, DUMFRIES, VA 22026-4526
(703) 371-3421
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
570
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
570
VA
Other
Enumeration date
01/08/2007
Last updated
09/11/2025
Update your record
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 at https://nppes.cms.hhs.gov.
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