DESTINI THERAPEUTIC SERVICES – Community/Behavioral Health Agency, NPI 1275833774

DESTINI THERAPEUTIC SERVICES is a healthcare provider. based in South boston, Virginia. specializing in Community/Behavioral Health Agency. The NPI Number for DESTINI THERAPEUTIC SERVICES is 1275833774

Main info

Organization
Name
DESTINI THERAPEUTIC SERVICES
NPI
1275833774
Phone
(434) 575-0855
Address
3152-E HALIFAX ROAD
Authorized Official
JENNIFER MANGUM CEO
Enumeration Date
30 October 2010
Last Update Date
14 February 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for DESTINI THERAPEUTIC SERVICES

  • 3152-E HALIFAX ROAD

    E

    SOUTH BOSTON, VA 245924906

    Phone: (434) 575-0855

    Type: Mailing

  • 3152 HALIFAX RD STE E

    SOUTH BOSTON, VA 245924906

    Phone: (434) 575-0855

    Fax: (434) 207-6164

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24592)

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Reviews

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Frequently asked questions

How is DESTINI THERAPEUTIC SERVICES identified in CMS data?
CMS-hosted NPPES data lists DESTINI THERAPEUTIC SERVICES with NPI 1275833774.
Is DESTINI THERAPEUTIC SERVICES listed as active for patients and plans?
The listing shows DESTINI THERAPEUTIC SERVICES as active in the NPI system.
What taxonomy line describes DESTINI THERAPEUTIC SERVICES?
For research purposes, treat DESTINI THERAPEUTIC SERVICES as Community/Behavioral Health Agency in this dataset. Clinical services aligned with this taxonomy classification.
Where is DESTINI THERAPEUTIC SERVICES based?
DESTINI THERAPEUTIC SERVICES is tied to South Boston, Virginia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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