| Destined for Healing LLC | |
|
10770 Columbia Pike Ste 300 Silver Spring MD 20901-4439 | |
| (301) 357-1523 | |
| Not Available |
| Full Name | Destined for Healing LLC |
|---|---|
| Speciality | Social Worker |
| Location | 10770 Columbia Pike Ste 300, Silver Spring, Maryland |
| Authorized Official Name and Position | Darlene a Gardner (OWNER) |
| Authorized Official Contact | 3013571523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Destined for Healing LLC 12012 Ashton Manor Way Apt 101 Orlando FL 32828-7011 | Destined for Healing LLC 10770 Columbia Pike Ste 300 Silver Spring MD 20901-4439 Ph: (301) 357-1523 |
| NPI Number | 1083591234 |
|---|---|
| Provider Enumeration Date | 08/19/2025 |
| Last Update Date | 08/19/2025 |
| Certification Date | 08/19/2025 |
| Medicare PECOS PAC ID | 5597252312 |
|---|---|
| Medicare Enrollment ID | O20251015002497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083591234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Darlene Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629891593 PECOS PAC ID: 3274031448 Enrollment ID: I20250810000151 |
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