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DESTINATION LIFE LLC-S
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
NPI: 1023625894Organization
Specialties, Licenses & Credentials
Registered Nurse — Psychiatric/Mental Health, Child & Adolescent
Code: 163WP0807X
Clinic/Center — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Code: 261QR0401X
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
Clinical Nurse Specialist — Psychiatric/Mental Health
Code: 364SP0808X
Clinical Nurse Specialist — Psychiatric/Mental Health, Child & Adolescent
Code: 364SP0807X
Contact & Hours
Via practice · 2 locations total
- Address
- 7 JONATHAN WAY
ELLISVILLE, MS 39437 - Phone
- (817) 473-1312
Quick Facts
- NPI
- 1023625894
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 15
- Locations
- 2
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