Healthcare Provider Details

I. General information

NPI: 1013524180
Provider Name (Legal Business Name): DESTINATION EDUCATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 GALINA ST
BEEBE AR
72012-3812
US

IV. Provider business mailing address

503 GALINA ST
BEEBE AR
72012-3812
US

V. Phone/Fax

Practice location:
  • Phone: 501-288-6549
  • Fax: 501-232-5057
Mailing address:
  • Phone: 501-288-6549
  • Fax: 501-232-5057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JESSICA SUZANNE HOWARD
Title or Position: SPEECH PATHOLOGIST
Credential: MS
Phone: 501-288-6549