Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Community/Behavioral Health |
251S00000X | |||
Mental Health |
101YM0800X | |||
Preferred Provider Organization |
305R00000X |
| NPI # | 1669861043 |
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| LBN Legal business name | CREATOR DESTINY LLC | ||||
| Authorized official | YOLANDA BONNER - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/22/2015 | ||||
| Last updated | 03/09/2015 - About 11 years ago | ||||
| Identifiers |
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CREATOR DESTINY LLC
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CREATOR DESTINY LLC