SAJOURNEY - NPI 1023625894 - Clinical Nurse Specialist in Ellisville, MS

Q: What is Destination Life Llc-S's NPI number?

The NPI number for Destination Life Llc-S is 1023625894. It was assigned to this organization in the NPPES registry on September 25, 2020. The provider is doing business as Sajourney.

Q: What is Destination Life Llc-S's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 364SP0807X.

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About Sajourney NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAJOURNEY (NPI 1023625894) is a healthcare organization registered as a psychiatric/mental health, child & adolescent in Ellisville, Mississippi and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Mansfield and lists Zemelda D. Carr, Adm, as its authorized official.

NPPES Registry Identity

NPI1023625894

Entity TypeOrganization

Primary Taxonomy364SP0807X

Legal Business NameDESTINATION LIFE LLC-S

Location Address7 JONATHAN WAYEllisville, MS 39437-5195

Mailing Address2001 Se Green Oak Blvd Ste 130Arlington, TX 76018-0952 · (817) 473-1312 · Fax (866) 990-2813

Phone(817) 473-1312

Fax(866) 990-2813

Organization SubpartNo

Authorized OfficialZemelda D. CarrAdm · (817) 473-1312

Enumeration DateSeptember 25, 2020

Last NPPES UpdateJuly 30, 20215 updates tracked since enumeration

NPPES CertifiedJuly 30, 2021

✔ NPI 1023625894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0807X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedOccupational Therapist · Mental HealthTaxonomy 225XM0800X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

Also ListedClinical Nurse SpecialistTaxonomy 364S00000X

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X

7 JONATHAN WAY, Ellisville, MS 39437

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Other Names 1

Doing Business AsSajourney

Secondary Practice Location 1

Location 11759 Broad Park Cir S Ste 113Mansfield, TX 76063-7836 · Phone (817) 473-1312 · Fax (866) 990-2813

Other Identifiers 3

Medicaid03320311MS

Other1C5803TX · Group

Other25D2200016MS · Clia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destination Life Llc-S's NPI number?

The NPI number for Destination Life Llc-S is 1023625894. It was assigned to this organization in the NPPES registry on September 25, 2020. The provider is doing business as Sajourney.

Where is Destination Life Llc-S located?

Destination Life Llc-S is located at 7 Jonathan Way, Ellisville, MS 39437. The listed phone number is (817) 473-1312.

What is Destination Life Llc-S's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 364SP0807X.

When was this NPI record last updated?

The NPPES record for Destination Life Llc-S was last updated on July 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.