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General NPI Number Information
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NPI Number | 1851263586
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Entity Type | Organization
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Legal Business Name | DESTINY SPRINGS HEALTHCARE, LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 17300 N DYSART RD
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City | SURPRISE
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State | AZ
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Zip | 85378-4501
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Country | US
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Telephone | 623-233-3000
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Fax | 623-399-1037
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Provider Business Mailing Address
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Address Line | 17300 N DYSART RD
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City | SURPRISE
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State | AZ
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Zip | 85378-4501
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Country | US
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Telephone | 623-233-3000
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Fax | 623-399-1037
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Authorized Official
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Title or Position | CEO
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Name | DAVID CARNAHAN
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Credential |
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Telephone | 623-233-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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