Healthcare Provider Details

I. General information

NPI: 1649189184
Provider Name (Legal Business Name): DESTINEY MYCHAL ARMSTRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4628 PORTSMOUTH BLVD
CHESAPEAKE VA
23321-2106
US

IV. Provider business mailing address

3821 MAGNOLIA DR
PORTSMOUTH VA
23703-2618
US

V. Phone/Fax

Practice location:
  • Phone: 757-673-8840
  • Fax:
Mailing address:
  • Phone: 757-270-0971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0019017223
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: