1. Home
  2. Directory
  3. Virginia
  4. South Boston
  5. Community Behavioral Health
  6. NPI Profile

DESTINI THERAPEUTIC SERVICES
NPI 1275833774
Community/Behavioral Health in South Boston, VA

Active since October 30, 2010
3152 HALIFAX RD STE E, SOUTH BOSTON, VA 24592(434) 575-0855(434) 207-6164 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destini Therapeutic Services NPPES

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

DESTINI THERAPEUTIC SERVICES (NPI 1275833774) is a healthcare organization registered as a community/behavioral health in South Boston, Virginia and active in the NPI registry since October 2010. The organization lists Jennifer Mangum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275833774
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDESTINI THERAPEUTIC SERVICES
Location Address3152 HALIFAX RD STE ESouth Boston, VA 24592-4906
Mailing Address3152-e Halifax Road, ESouth Boston, VA 24592-4906 · (434) 575-0855
Phone(434) 575-0855
Fax(434) 207-6164
Organization SubpartNo
Authorized OfficialJennifer MangumCeo · (434) 575-0855
Enumeration DateOctober 30, 2010
Last NPPES UpdateFebruary 14, 2014
✔ NPI 1275833774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
3152 HALIFAX RD STE E, South Boston, VA 24592
Open in Google Maps ↗

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 Destini Therapeutic Services's NPI number?

The NPI number for Destini Therapeutic Services is 1275833774. It was assigned to this organization in the NPPES registry on October 30, 2010.

Where is Destini Therapeutic Services located?

Destini Therapeutic Services is located at 3152 Halifax Rd Ste E, South Boston, VA 24592. The listed phone number is (434) 575-0855.

What is Destini Therapeutic Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Destini Therapeutic Services was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.