Provider Demographics
NPI:1740027259
Name:DESTINY FAMILY SERVICES LLC
Entity type:Organization
Organization Name:DESTINY FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-595-1559
Mailing Address - Street 1:1251 KEMPER MEADOW DR STE 100B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1767
Mailing Address - Country:US
Mailing Address - Phone:513-595-1559
Mailing Address - Fax:
Practice Address - Street 1:1251 KEMPER MEADOW DR STE 100B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1767
Practice Address - Country:US
Practice Address - Phone:513-595-1559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency