Destiny Springs Healthcare, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Surprise, AZ. Organization (NPI-2).
NPI number1114511037
StatusActive
Last updated in NPPESOct 30, 2025
Details
- NPI
- 1114511037
- Entity type
- Organization (NPI-2)
- Legal business name
- Destiny Springs Healthcare, LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 22, 2021
- Certification date
- Oct 30, 2025
- Last updated
- Oct 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Destiny Springs Healthcare, LLC (Other Name)
Practice location
17300 N Dysart RdSurprise, AZ 85378-4501
Phone 623-233-3000
Mailing address
17300 N Dysart RdSurprise, AZ 85378-4501
Phone 160-271-4332
Authorized official
David Carnahan
Ceo
6232333000
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