Healthcare Provider Details

I. General information

NPI: 1255527651
Provider Name (Legal Business Name): DESTINY KAYE MARKHAM MSW, ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DESTINY KAYE LEE ACSW

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19-531 MCLANE STREET SUITE B
PALM SPRINGS CA
92262
US

IV. Provider business mailing address

19-531 MCLANE STREET SUITE B
PALM SPRINGS CA
92262
US

V. Phone/Fax

Practice location:
  • Phone: 951-731-1731
  • Fax:
Mailing address:
  • Phone: 951-731-1731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number121765
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: