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Organization

DESTINED BEGINNINGS LLC

Active
Other names
Destined Beginnings LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MISS REGINIQUE K GRIFFIN (EXECUTIVE DIRECTOR)
(757) 359-3204
Entity
Organization

Contact information

Practice address
485 S INDEPENDENCE BLVD STE 115, VIRGINIA BEACH, VA 23452-1129
(757) 581-1549
Mailing address
1305 CONOGA ST, NORFOLK, VA 23523-1993
(757) 359-3204

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QD1600X
Developmental Disabilities Clinic/Center
305R00000X
Preferred Provider Organization

Other

Enumeration date
11/14/2024
Last updated
11/14/2024
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