Individual provider · NPI-1

Destiny Crayton

Counselor, Mental Health · North Lauderdale, FL

NPI number1518665017
StatusActive
Last updated in NPPESJan 7, 2025

Details

NPI
1518665017
Entity type
Individual (NPI-1)
Name
Destiny Crayton
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 23, 2023
Certification date
Jan 7, 2025
Last updated
Jan 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH22669FLYes

Practice location

8110 Sw 9th St
North Lauderdale, FL 33068-2037

Phone 316-708-7217

Mailing address

8110 Sw 9th St
North Lauderdale, FL 33068-2037

Phone 316-708-7217

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