1629691167 DESTINATION LIFE LLC
Occupational Therapist
Active
Basic Information
- Organization Name
- DESTINATION LIFE LLC
- Enumeration Date
- May 19, 2020
- Last Update
- March 16, 2022
- Authorized Official
- ZEMELDA D. CARR
ADM & AUTH REP
Phone: (817) 473-1312
Practice Location
- Address
- 2001 SE GREEN OAKS BLVD STE 130
ARLINGTON, TX 760180952 - Phone
- (817) 473-1312
- Fax
- (866) 990-2813
Mailing Address
- Address
- 2001 SE GREEN OAKS BLVD STE 130
ARLINGTON, TX 760180952 - Phone
- (817) 473-1312
- Fax
- (866) 990-2813
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | No |
| Nurse Practitioner | 363L00000X | Nurse Practitioner | N/A | N/A | No |
| Social Worker | 104100000X | Social Worker | N/A | N/A | No |
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician Clinical & Laboratory Immunology | 207KI0005X | Allergy & Immunology | N/A | N/A | No |
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Nursing Care Agency | 251J00000X | Nursing Care | N/A | N/A | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | No |
| Adult Mental Health Clinic/Center Adult Mental Health | 261QM0850X | Clinic/Center | N/A | N/A | No |
| Adult Health Nurse Practitioner Adult Health | 363LA2200X | Nurse Practitioner | N/A | N/A | No |
| Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 363LP0808X | Nurse Practitioner | N/A | N/A | No |
| Primary Care Nurse Practitioner Primary Care | 363LP2300X | Nurse Practitioner | N/A | N/A | No |
| Women's Health Nurse Practitioner Women's Health | 363LW0102X | Nurse Practitioner | N/A | N/A | No |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | Clinical Nurse Specialist | N/A | N/A | No |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist Psychiatric/Mental Health, Adult | 364SP0809X | Clinical Nurse Specialist | N/A | N/A | No |
| Occupational Therapist | 225X00000X | Occupational Therapist | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25D2200016 | 01 | MS | CLIA |
| 03320311 | 05 | MS | N/A |
| 404951201 | 05 | TX | N/A |
Additional Practice Locations
1759 Broad Park Cir S Ste 113
Mansfield, TX 760637836
Mansfield, TX 760637836
Phone: (817) 473-1312
Fax: (866) 990-2813
7 Jonathan Way
Ellisville, MS 394375195
Ellisville, MS 394375195
Phone: (817) 473-1312
Fax: (866) 990-2813
Frequently Asked Questions
What is DESTINATION LIFE LLC's NPI number?
DESTINATION LIFE LLC's NPI number is 1629691167.
Which doctor has NPI number 1629691167?
The doctor with NPI number 1629691167 is DESTINATION LIFE LLC.
What is DESTINATION LIFE LLC's practice address?
DESTINATION LIFE LLC's practice address is 2001 SE GREEN OAKS BLVD STE 130, ARLINGTON, TX, 760180952.
Which doctor practices at 2001 SE GREEN OAKS BLVD STE 130, ARLINGTON, TX, 760180952?
DESTINATION LIFE LLC practices at 2001 SE GREEN OAKS BLVD STE 130, ARLINGTON, TX, 760180952.
What is DESTINATION LIFE LLC's phone number?
DESTINATION LIFE LLC's phone number is (817) 473-1312.
Who is (817) 473-1312?
(817) 473-1312 is the phone number for DESTINATION LIFE LLC.
What is DESTINATION LIFE LLC's specialty?
DESTINATION LIFE LLC's specialty is Occupational Therapist.
What type of doctor is DESTINATION LIFE LLC?
DESTINATION LIFE LLC is a Occupational Therapist.
Is DESTINATION LIFE LLC a Occupational Therapist?
Yes, DESTINATION LIFE LLC is a Occupational Therapist.
Is DESTINATION LIFE LLC still practicing?
Yes, DESTINATION LIFE LLC is currently practicing.
Is DESTINATION LIFE LLC accepting new patients?
DESTINATION LIFE LLC may be accepting new patients. Please call their office at (817) 473-1312 to inquire about availability.
Is NPI 1629691167 still active?
Yes, NPI 1629691167 is currently active.
Where does DESTINATION LIFE LLC practice?
DESTINATION LIFE LLC practices in ARLINGTON, TX.