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DESTINATION LIFE LLC NPI 1629691167


NPI Information

NPI: 1629691167
Provider Name: DESTINATION LIFE LLC

Doing Business As: SAJOURNEY

Classification: Occupational Therapist - 225X00000X
Entity Type: Organization
Address:
2001 SE GREEN OAKS BLVD STE 130
ARLINGTON, TX
ZIP 76018
Phone: (817) 473-1312
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DESTINATION LIFE LLC is an occupational therapist in Arlington, TX. The provider is an occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. DESTINATION LIFE LLC NPI is 1629691167. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sajourney.

The provider's business location address is:

2001 SE GREEN OAKS BLVD STE 130
ARLINGTON, TX
ZIP 76018-952
Phone: (817) 473-1312
Fax: (866) 990-2813

The provider's authorized official is Zemelda D. Carr .
The authorized official title is Adm & Auth Rep and has the following contact phone number (817) 473-1312.

The enumeration date for this NPI number is 5/19/2020 and was last updated on 3/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3363LP2300XNurse PractitionerPrimary CareNo
4363LW0102XNurse PractitionerWomen's HealthNo
5364SP0807XClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentNo
6364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultNo
7261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
8363L00000XNurse PractitionerNo
9104100000XSocial WorkerNo
10207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyNo
11251B00000XCase ManagementNo
12251J00000XNursing CareNo
13261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
14261QM0850XClinic/CenterAdult Mental HealthNo
15225X00000XOccupational TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
125D2200016OTHERMISSISSIPPICLIA
203320311MEDICAIDMISSISSIPPI
3404951201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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