| The Destin Group Llc | |
|
8819 Peeble Beach Court Chesterfield VA 23832-2667 | |
| (804) 381-8337 | |
| Not Available |
| Full Name | The Destin Group Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8819 Peeble Beach Court, Chesterfield, Virginia |
| Authorized Official Name and Position | Tamara Michell Williams (CREDENTIAL) |
| Authorized Official Contact | 8045034634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Destin Group Llc 12220 Chattanooga Plz # 208 Midlothian VA 23112-4865 Ph: (804) 381-8337 | The Destin Group Llc 8819 Peeble Beach Court Chesterfield VA 23832-2667 Ph: (804) 381-8337 |
| NPI Number | 1649838525 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 06/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649838525 | NPI | - | NPPES |
| 601208245 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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