Individual
DESTINY PYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8128 E HWY 69, 111, PRESCOTT VALLEY, AZ 86314
(928) 679-2191
Mailing address
4500 N CARLA VISTA DR, PRESCOTT VALLEY, AZ 86314-7306
(602) 579-5477
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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