Organization · Type 2 NPI

Destination Life Llc-S

Occupational Therapist · Laurel, MS

NPI number 1023625894 Active

Practice location

216 S 13th Ave Ste C
Laurel, MS 39440-4226

Fax (601) 374-6884

Mailing address

1121 Debbie Ln Unit 806B
Arlington, TX 76002-5081

Other practice locations

  • 1121 Debbie Ln Unit 806B, Arlington, TX 76002-5081 · (817) 266-4185

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed
Mental Health Occupational Therapist 225XM0800XNone listed

Occupational Therapist: 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…

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About NPI 1023625894

Destination Life Llc-S's National Provider Identifier is 1023625894, issued on Sep 25, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Laurel, MS. The record was last updated on Oct 13, 2026.