# GREAT DESTINY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912621251
- **Authorized official:** TIONA PRAYLOW MD (OWNER)
- **Authorized official phone:** (803) 394-1308

## Contact information

- **Practice address:** 605 ALCOTT DR, COLUMBIA, SC 29203-4411
- **Practice address phone:** (803) 573-2228
- **Mailing address:** 5 POCOSIN CT, ELGIN, SC 29045-8223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2022
- **Last updated:** 09/29/2022