Individual
DESTINEE NICHOLE GREENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
431 E STATE HIGHWAY 114 STE 140, SOUTHLAKE, TX 76092-4412
(281) 819-1566
Mailing address
145 COUNTY ROAD 4387, DECATUR, TX 76234-7831
(940) 206-2886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
93086
TX
101YP2500X
Professional Counselor
93086
TX
Other
Enumeration date
05/29/2025
Last updated
06/04/2025
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