Destini Therapeutic Services
Counselor Clinic
3152 Halifax Rd Ste E, South Boston
Virginia, 24592-4906
434-575-0855 434-207-6164
Maps & DirectionsDestini Therapeutic Services is a Counselor Clinic in South Boston, Virginia. It is located at 3152 Halifax Rd Ste E, South Boston, VA and its contact number is 434-575-0855. The authorized person for Destini Therapeutic Services is Jennifer Mangum
who is Ceo of the clinic and his/her contact number is 434-575-0855.
Destini Therapeutic Services Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Destini Therapeutic Services Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Destini Therapeutic Services |
| Specialization: | Counselor |
| Clinic Address: | 3152 Halifax Rd Ste E, South Boston,
Virginia, 24592-4906 |
| Phone: | 434-575-0855 |
| Fax: | 434-207-6164 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jennifer Mangum |
| Position: | Ceo |
| Contact Number: | 434-575-0855 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Destini Therapeutic Services clinic are as mentioned below.
| NPI Number: | 1275833774 |
| NPI Enumeration Date: | 30 Oct, 2010 |
| NPI Last Update On: | 14 Feb, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Destini Therapeutic Services are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/behavioral Health | | | Primary | |
| Counselor | | | Secondary | |
| Mental Health | | | Secondary | |
| Professional | | | Secondary | |
| Counseling | | | Secondary | |
| Psychiatry | | | Secondary | |
| Day Training, Developmentally Disabled Services | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Destini Therapeutic Services
3152-e Halifax Road, E
South Boston, Virginia |
| Zip: | 24592-4906 |
| Phone Number: | 434-575-0855 |
| Fax Number: | -- |
Patients can reach Destini Therapeutic Services at
3152 Halifax Rd Ste E, South Boston, Virginia or can
call to book an appointment on 434-575-0855.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.