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DESTINY SOBER LIVING
NPI 1336377050
Substance Abuse Rehabilitation Facility in Phoenix, AZ

Active since July 01, 2009
5306 N 17TH AVE, PHOENIX, AZ 85015(602) 249-6675(602) 237-7242 Get Directions Write a Review

NPPES record last updated: July 1, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Destiny Sober Living NPPES

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

DESTINY SOBER LIVING (NPI 1336377050) is a healthcare organization registered as a substance abuse rehabilitation facility in Phoenix, Arizona and active in the NPI registry since July 2009. The organization lists Marcus Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336377050
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDESTINY SOBER LIVING
Location Address5306 N 17TH AVEPhoenix, AZ 85015-3035
Mailing Address11629 S 43rd AveLaveen, AZ 85339-3245 · (602) 249-6675 · Fax (602) 237-7242
Phone(602) 249-6675
Fax(602) 237-7242
Organization SubpartNo
Authorized OfficialMarcus LewisCeo · (602) 249-6675
Enumeration DateJuly 1, 2009
✔ NPI 1336377050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in AZ · BH-3285
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

5306 N 17TH AVE, Phoenix, AZ 85015
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Other Providers at the Same Location NPPES 4

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

FAMILY INSTITUTE FOR HEALTH AND RECOVERY
Community/Behavioral Health
5306 N 17TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 327-8375
DESTINY SOBER LIVING
Counselor (Addiction (Substance Use Disorder))
5306 N 17TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 249-6674
KELLY BENNETT
Counselor (Addiction (Substance Use Disorder))
5306 N 17TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 249-6674
EVA CORONA LISAC
Counselor (Addiction (Substance Use Disorder))
5306 N 17TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 249-6674

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 1336377050. It was assigned to this organization in the NPPES registry on July 1, 2009.

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) 249-6675.

What is Destiny Sober Living's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Destiny Sober Living was last updated on July 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.