DESTINATION LIFE LLC-S

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · ELLISVILLE, MS

Organization Active NPI 1023625894

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist364SP0807X
Clinical Social Worker1041C0700X
Child & Adolescent Psychiatric/Mental Health Registered Nurse163WP0807X
Occupational Therapist225X00000X
Mental Health Occupational Therapist225XM0800X
Primary Care Clinic/Center261QP2300X
Comprehensive Outpatient Rehabilitation Facility (CORF)261QR0401X
Clinical Medical Laboratory291U00000X
Nurse Practitioner363L00000X
Community Health Nurse Practitioner363LC1500X
Family Nurse Practitioner363LF0000X
Psychiatric/Mental Health Nurse Practitioner363LP0808X
Women's Health Nurse Practitioner363LW0102X
Clinical Nurse Specialist364S00000X
Psychiatric/Mental Health Clinical Nurse Specialist364SP0808X

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

DESTINATION LIFE LLC-S — NPI 1023625894