Provider Demographics
| NPI: | 1447062278 |
|---|---|
| Name: | DESTINY'S LEADERS INC |
| Entity type: | Organization |
| Organization Name: | DESTINY'S LEADERS INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LETETIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SMITH |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | RN |
| Authorized Official - Phone: | 214-448-6626 |
| Mailing Address - Street 1: | 1604 CROWN POINT DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | FRISCO |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75036-8770 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 469-278-4205 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1604 CROWN POINT DR |
| Practice Address - Street 2: | |
| Practice Address - City: | FRISCO |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 75036-8770 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 469-278-4205 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-01-20 |
| Last Update Date: | 2025-03-19 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251E00000X | Agencies | Home Health | |
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| No | 251J00000X | Agencies | Nursing Care | |
| No | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
| No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 342000000X | Transportation Services | Transportation Network Company | |
| No | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
