Organization
THE DESTINY BEHAVIORAL HEALTH SERVICES
Active
Parent organization
THE DESTINY TCM CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE DESTINY TCM CORPORATION
Authorized official
MS. LORNA D HOLMES (PRESIDENT)
(407) 703-5959
Entity
Organization
Contact information
Practice address
821 DOUGLAS AVE, SUITE 185, ALTAMONTE SPRINGS, FL 32714-5210
(407) 703-5959
(407) 814-3863
Mailing address
821 DOUGLAS AVE, SUITE 185, ALTAMONTE SPRINGS, FL 32714-5210
(407) 703-5959
(407) 814-3863
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003564600
—
FL
Enumeration date
06/13/2013
Last updated
06/13/2013
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