NEW DESTINY CLINIC
NPI 1033971742
Clinic/Center - Mental Health (Including Community Mental Health Center) in Phoenix, AZ

Active since January 29, 2024
5251 W CAMPBELL AVE STE 204, PHOENIX, AZ 85031(480) 258-8703 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About New Destiny Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW DESTINY CLINIC (NPI 1033971742) is a healthcare organization registered as a mental health (including community mental health center) in Phoenix, Arizona and active in the NPI registry since January 2024. The organization lists Bill Etienne Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033971742
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNEW DESTINY CLINIC
Location Address5251 W CAMPBELL AVE STE 204Phoenix, AZ 85031-1719
Mailing Address5251 W Campbell Ave Ste 204Phoenix, AZ 85031-1719 · (408) 791-4817
Organization SubpartNo
Authorized OfficialBill Etienne WilsonCeo · (408) 791-4817
Enumeration DateJanuary 29, 2024
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
NPI 1033971742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
5251 W CAMPBELL AVE STE 204, Phoenix, AZ 85031

Other Identifiers 1

MedicaidOTC13126AZ

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
5251 W CAMPBELL AVE STE 204
PHOENIX, AZ 85031
Internal Medicine (Pulmonary Disease)
5251 W CAMPBELL AVE STE 204
PHOENIX, AZ 85031
Counselor (Addiction (Substance Use Disorder))
5251 W CAMPBELL AVE STE 204
PHOENIX, AZ 85031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Destiny Clinic's NPI number?

The NPI number for New Destiny Clinic is 1033971742. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is New Destiny Clinic located?

New Destiny Clinic is located at 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031. The listed phone number is (480) 258-8703.

What is New Destiny Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for New Destiny Clinic was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.