Healthcare Provider Details

I. General information

NPI: 1760334734
Provider Name (Legal Business Name): DESTINY ACHIEVERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 WOODMAN HALL ST STE C
SHELBY NC
28152-6667
US

IV. Provider business mailing address

1404 WOODMAN HALL ST STE C
SHELBY NC
28152-6667
US

V. Phone/Fax

Practice location:
  • Phone: 704-284-3609
  • Fax:
Mailing address:
  • Phone: 704-284-3609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EVELYN STRONG
Title or Position: CEO
Credential:
Phone: 704-284-3609