DESTINY PETERSON


Address: 21415 Civic Center Dr Ste 209, Southfield, MI 48076-3943
Phone: 2487032889

DESTINY PETERSON (NPI# 1366831273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 7501000917 MI Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI STATE OF MICHIGAN LICENSING BOARD NUMBER 7501000917 01

Other Providers DESTINY PETERSON

NPI Name Taxonomy Address Enumeration
1154865590 Destiny Peterson Psychologist 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 2016-12-05

Office Location

Street Address 21415 CIVIC CENTER DR STE 209
City SOUTHFIELD
State MI
Zip Code 48076-3943

Providers in the same zip code

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 Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy 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.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City SOUTHFIELD
Zip Code 48076

Improve Information

Please comment or provide details below to improve the information on DESTINY PETERSON.

Dataset Information

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.

Trending Searches