Individual
DESTINY HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 QUAIL DR, YOUNGSVILLE, NC 27596-9782
(770) 318-6160
Mailing address
136 QUAIL DR, YOUNGSVILLE, NC 27596-9782
(770) 318-6160
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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