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General NPI Number Information
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NPI Number | 1750754727
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Entity Type | Organization
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Legal Business Name | DESTINED FOR OPTIONS LLC
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 3525 N. CAUSEWAY BLVD. STE 501/501A
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-309-0259
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Fax | 504-309-2702
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Provider Business Mailing Address
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Address Line | 3525 N. CAUSEWAY BLVD. STE 501/501A
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-309-0259
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Fax | 504-309-2702
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Authorized Official
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Title or Position | OWNER
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Name | MISS CANDACE TAYLOR
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Credential | MASTER COUNSELOR
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Telephone | 504-715-1182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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