Provider Demographics
NPI:1669028213
Name:DESTINATIONS COUNSELING LLC
Entity Type:Organization
Organization Name:DESTINATIONS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:605-262-0513
Mailing Address - Street 1:421 15TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-2121
Mailing Address - Country:US
Mailing Address - Phone:605-262-0513
Mailing Address - Fax:605-262-0521
Practice Address - Street 1:405 8TH AVE NW STE 321
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-2700
Practice Address - Country:US
Practice Address - Phone:605-262-0513
Practice Address - Fax:605-262-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty