NEW DESTINATIONS INC. NPI 1376899104

NPI Information

  • NPI: 1376899104
  • Provider Name: NEW DESTINATIONS, INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 124 OAKPARK DR UNIT J
    MOORESVILLE, NC
    ZIP 28115
  • Phone: (704) 658-0220

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NPI Details

NEW DESTINATIONS, INC. is a community behavioral health in Mooresville, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NEW DESTINATIONS, INC. NPI is 1376899104. The provider is registered as an organization entity type.

The provider's business location address is:

124 OAKPARK DR UNIT J
MOORESVILLE, NC
ZIP 28115-884
Phone: (704) 658-0220
Fax: (704) 658-0223

The provider's authorized official is Larry Lee Lackey .
The authorized official title is Director and has the following contact phone number (919) 773-2706.

The enumeration date for this NPI number is 7/30/2012 and was last updated on 10/23/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
2311ZA0620XCustodial Care FacilityAdult Care HomeNo
3251S00000XCommunity/Behavioral HealthYes

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: 3/30/2025

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