DESTINY PETERSON (NPI# 1366831273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366831273 |
Entity Type | Individual |
Full Name | DESTINY PETERSON |
Other Name | THERAPY WITH DESTINY, LLC |
Practice Address |
21415 Civic Center Dr Ste 209 Southfield MI 48076-3943 |
Practice Telephone | 2487032889 |
Mailing Telephone | 2487032889 |
Enumeration Date | 2015-01-15 |
Last Update Date | 2015-01-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 7501000917 | MI | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | STATE OF MICHIGAN LICENSING BOARD NUMBER | 7501000917 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154865590 | Destiny Peterson | Psychologist | 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 | 2016-12-05 |
Street Address |
21415 CIVIC CENTER DR STE 209 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48076-3943 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
Find all providers in zip 48076 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
1376929562 | Michigan Home Physician Service, Pllc | Specialist | 26645 W 12 Mile Road, Suite 109, Southfield, MI 48034-7811 | 2015-08-11 |
1831517036 | Naomi Darden | Specialist | 25711 Southfield Rd, 206, Southfield, MI 48075-1875 | 2014-04-03 |
1295039899 | Wellness Center of Michigan LLC | Specialist | 17336 W 12 Mile Rd Ste 102, Southfield, MI 48076-2113 | 2010-12-23 |
1710155627 | Milton Foss Simmons | Specialist | 18658 George Washington Dr, Southfield, MI 48075-2552 | 2008-02-13 |
1770632945 | Flora Ann Dean | Specialist | 17330 Northland Park Court, Suite 201, Southfield, MI 48075-4318 | 2007-01-09 |
1245324789 | Cristina Torres | Specialist | 24500 Northwestern Highway, Southfield, MI 48075 | 2006-10-02 |
1689766065 | Dawit Teklehaimanot | Specialist | Physical Medicine and Rehabilation and Pain Consultant, 17117 West Nine Mile Road Suite 1331, Southfield, MI 48075 | 2006-09-29 |
1598779282 | Embrace Home Health Physicians | Specialist | 19189 W 10 Mile Road, Southfield, MI 48075 | 2006-07-28 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48076 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.