Divon Destiny LLC
Case Management in Alexandria, VA. Organization (NPI-2).
NPI number1972496420
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1972496420
- Entity type
- Organization (NPI-2)
- Legal business name
- Divon Destiny LLC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2025
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 385H00000X | Respite Care | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 372600000X | Adult Companion | – | – |
Practice location
4324 Vermont AveAlexandria, VA 22304-4922
Phone 703-965-0739
Mailing address
4324 Vermont AveAlexandria, VA 22304-4922
Phone 703-965-0739
Authorized official
Takahya Everett-Gatlin
Owner
7039650739
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