Organization
DESTINY OUTPATIENT SERVICES
Active
Organization
DESTINY OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN GEOR-ZELL BYNUM LPC (EXECUTIVE DIRECTOR)
(602) 327-8375
Entity
Organization
Contact information
Practice address
5308 N 17TH AVE, PHOENIX, AZ 85015-3035
(602) 249-6674
(602) 926-0590
Mailing address
5306 N 17TH AVE, PHOENIX, AZ 85015-3035
(602) 249-6674
(602) 926-0590
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC7551
AZ
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up