Organization
DESTINATION GREATNESS, LLC
Active
Parent organization
DESTINATION GREATNESS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESTINATION GREATNESS, PLLC
Authorized official
MS. SHANNA A JEFFERSON MSW, CFSW, LCSW (OWNER)
(919) 794-5284
Entity
Organization
Contact information
Practice address
1142 FLAT ST E, ALLENDALE, SC 29810-5818
(919) 794-5284
Mailing address
PO BOX 13273, DURHAM, NC 27709-3273
(919) 794-5284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
12/06/2013
Last updated
12/30/2013
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