Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destini Therapeutic Services

Organization Counselor · NPI 1275833774

Destini Therapeutic Services is a Counselor in South Boston, Virginia. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
7

Practice location Address checks out

3152 Halifax Rd Ste E
South Boston, VA 24592-4906
Phone: (434) 575-0855
Fax: (434) 207-6164
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Counseling Psychologist Taxonomy 103TC1900X
Psychiatry Physician Taxonomy 2084P0800X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X

Record details

NPI number1275833774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Mangum — Ceo · (434) 575-0855
NPI enumeratedOctober 30, 2010
Last updated in NPPESFebruary 14, 2014
Mailing address3152-E Halifax Road, E, South Boston, VA 24592-4906

Other providers in South Boston