DESTINY SOBER LIVING
NPI 1104365287
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ
About Destiny Sober Living NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESTINY SOBER LIVING (NPI 1104365287) is a healthcare organization registered as an addiction (substance use disorder) in Phoenix, Arizona and active in the NPI registry since February 2017. The organization holds 2 active CLIA laboratory certificates and lists Kathleen Bynum, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
Group Practice 1
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2191671
Destiny Sober Living · Phoenix, AZCertificate of Waiver 03D2191668
Destiny Sober Living - Antelope · Buckeye, AZOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85015
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 Destiny Sober Living's NPI number?
The NPI number for Destiny Sober Living is 1104365287. It was assigned to this organization in the NPPES registry on February 22, 2017.
Where is Destiny Sober Living located?
Destiny Sober Living is located at 5306 N 17th Ave, Phoenix, AZ 85015. The listed phone number is (602) 249-6674.
What is Destiny Sober Living's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Does Destiny Sober Living hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Destiny Sober Living was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
