NEW DESTINY HEALTH SERVICES, LLC
NPI 1336814300
Family Medicine - Addiction Medicine in Gwynn Oak, MD

Active since August 12, 2021
4801 LIBERTY HEIGHTS AVE, GWYNN OAK, MD 21207(410) 733-4636 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New Destiny Health Services, Llc NPPES

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

NEW DESTINY HEALTH SERVICES, LLC (NPI 1336814300) is a healthcare organization registered as an addiction medicine in Gwynn Oak, Maryland and active in the NPI registry since August 2021. The organization lists Tracy Renna Thomas, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1336814300
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameNEW DESTINY HEALTH SERVICES, LLC
Location Address4801 LIBERTY HEIGHTS AVEGwynn Oak, MD 21207-7157
Mailing Address9123 Sunset Ridge RdRandallstown, MD 21133-3651 · (410) 733-4636
Organization SubpartNo
Authorized OfficialTracy Renna ThomasCredentialing Specialist · (410) 663-4036
Enumeration DateAugust 12, 2021
NPPES CertifiedAugust 12, 2021
NPI 1336814300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
4801 LIBERTY HEIGHTS AVE, Gwynn Oak, MD 21207

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

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
4801 LIBERTY HEIGHTS AVE
GWYNN OAK, MD 21207
Podiatrist
4801 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Nurse Practitioner (Psychiatric/Mental Health)
4801 LIBERTY HEIGHTS AVE
GWYNN OAK, MD 21207
Health Educator
4801 LIBERTY HEIGHTS AVE
GWYNN OAK, MD 21207
Nurse Practitioner (Family)
4801 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Licensed Practical Nurse
4801 LIBERTY HEIGHTS AVE
GWYNN OAK, MD 21207
Health Educator
4801 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21207
Health Educator
4801 LIBERTY HEIGHTS AVE
GWYNN OAK, MD 21207

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 New Destiny Health Services, LLC's NPI number?

The NPI number for New Destiny Health Services, LLC is 1336814300. It was assigned to this organization in the NPPES registry on August 12, 2021.

Where is New Destiny Health Services, LLC located?

New Destiny Health Services, LLC is located at 4801 Liberty Heights Ave, Gwynn Oak, MD 21207. The listed phone number is (410) 733-4636.

What is New Destiny Health Services, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for New Destiny Health Services, LLC was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.