Healthcare Provider Details

I. General information

NPI: 1063346260
Provider Name (Legal Business Name): DESTINY OVER TIME SOLUTIONS DOTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5113 HATCHER DRIVE 5113
STOCKBRIDGE GA
30281
US

IV. Provider business mailing address

5113 HATCHER DRIVE 5113
STOCKBRIDGE GA
30281
US

V. Phone/Fax

Practice location:
  • Phone: 770-780-9001
  • Fax:
Mailing address:
  • Phone: 770-780-9001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LAKISHIA WADDELL
Title or Position: SOCIAL WORKER
Credential: MSW
Phone: 770-780-9001