Destination Life LLC-S
Destination Life LLC-S is a child & adolescent psychiatric/mental health clinical nurse specialist located in Ellisville, MS. The NPI was issued on September 25, 2020, and the record was last updated in NPPES on July 30, 2021. The record lists 15 taxonomy codes. One additional practice location is listed.
This record hasn't been updated in NPPES since 2021. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0807X | Not listed |
| Clinical Social Worker | 1041C0700X | Not listed |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | Not listed |
| Occupational Therapist | 225X00000X | Not listed |
| Mental Health Occupational Therapist | 225XM0800X | Not listed |
| Primary Care Clinic/Center | 261QP2300X | Not listed |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Not listed |
| Clinical Medical Laboratory | 291U00000X | Not listed |
| Nurse Practitioner | 363L00000X | Not listed |
| Community Health Nurse Practitioner | 363LC1500X | Not listed |
| Family Nurse Practitioner | 363LF0000X | Not listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Not listed |
| Women's Health Nurse Practitioner | 363LW0102X | Not listed |
| Clinical Nurse Specialist | 364S00000X | Not listed |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | Not listed |
Practice locations
Local context
Active NPPES records list 1 provider with child & adolescent psychiatric/mental health clinical nurse specialist as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 1 in Mississippi and 257 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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