Provider Demographics
NPI:1417833005
Name:ANEECIAS DESTINY LLC
Entity type:Organization
Organization Name:ANEECIAS DESTINY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VENESHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAINWATER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:602-692-4944
Mailing Address - Street 1:8776 W CHERRY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-4113
Mailing Address - Country:US
Mailing Address - Phone:623-215-4890
Mailing Address - Fax:
Practice Address - Street 1:8776 W CHERRY HILLS DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-4113
Practice Address - Country:US
Practice Address - Phone:623-215-4890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children