NPI Code Details Logo

NPI 1447062278

NPI 1447062278 : DESTINY'S LEADERS INC : FRISCO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1447062278
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DESTINY'S LEADERS INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/20/2025
-----------------------------------------------------
    Last Update Date     |    06/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1604 CROWN POINT DR 
-----------------------------------------------------
    City                 |    FRISCO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75036-8770
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-278-4205
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1604 CROWN POINT DR 
-----------------------------------------------------
    City                 |    FRISCO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75036-8770
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-278-4205
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXECUTIVE DIRECTOR
-----------------------------------------------------
    Name                 |     LETETIA  SMITH 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    214-448-6626
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163WC2100X
-----------------------------------------------------
    Taxonomy Name        |    Continence Care Registered Nurse
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    163WD0400X
-----------------------------------------------------
    Taxonomy Name        |    Diabetes Educator Registered Nurse
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261QM0855X
-----------------------------------------------------
    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    251C00000X
-----------------------------------------------------
    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    320900000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    342000000X
-----------------------------------------------------
    Taxonomy Name        |    Transportation Network Company
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    385HR2055X
-----------------------------------------------------
    Taxonomy Name        |    Child Mental Illness Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    385HR2060X
-----------------------------------------------------
    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #11
-----------------------------------------------------
    Taxonomy Code        |    320600000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #12
-----------------------------------------------------
    Taxonomy Code        |    320800000X
-----------------------------------------------------
    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #13
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.