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DESTINY PETERSON
NPI 1366831273
Specialist in Southfield, MI

Active since January 15, 2015
21415 CIVIC CENTER DR STE 209, SOUTHFIELD, MI 48076(248) 703-2889 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destiny Peterson NPPES

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

DESTINY PETERSON (NPI 1366831273) is an individual specialist in Southfield, Michigan, licensed in Michigan (7501000917) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1366831273
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDESTINY PETERSON
Location Address21415 CIVIC CENTER DR STE 209Southfield, MI 48076-3943
Mailing Address21415 Civic Center Dr Ste 209Southfield, MI 48076-3943 · (248) 703-2889
Phone(248) 703-2889
Sole ProprietorYes
Enumeration DateJanuary 15, 2015
✔ NPI 1366831273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 7501000917
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
21415 CIVIC CENTER DR STE 209, Southfield, MI 48076
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Other Names 1

Professional Name (2)Therapy With Destiny, Llc Lmt

Other Identifiers 1

Other7501000917MI · State Of Michigan Licensing Board Number

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 Peterson's NPI number?

The NPI number for Destiny Peterson is 1366831273. It was assigned to this individual provider in the NPPES registry on January 15, 2015. The provider is also known as Therapy With Destiny, LLC Lmt.

Where is Destiny Peterson located?

Destiny Peterson practices at 21415 Civic Center Dr Ste 209, Southfield, MI 48076. The listed phone number is (248) 703-2889.

What is Destiny Peterson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Destiny Peterson was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.