Provider Demographics
NPI:1366203713
Name:DESTINED TO OVERCOME MINISTRIES INC
Entity type:Organization
Organization Name:DESTINED TO OVERCOME MINISTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF BOARD
Authorized Official - Prefix:
Authorized Official - First Name:JOYE
Authorized Official - Middle Name:MYREA
Authorized Official - Last Name:PASCALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-688-2003
Mailing Address - Street 1:20208 WESTLAND DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-7935
Mailing Address - Country:US
Mailing Address - Phone:248-688-2003
Mailing Address - Fax:
Practice Address - Street 1:20208 WESTLAND DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-7935
Practice Address - Country:US
Practice Address - Phone:248-688-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution