Provider Demographics
NPI:1619626918
Name:MISKEL, DESTINEE (ALC, NCC)
Entity Type:Individual
Prefix:
First Name:DESTINEE
Middle Name:
Last Name:MISKEL
Suffix:
Gender:F
Credentials:ALC, NCC
Other - Prefix:
Other - First Name:DESTINEE
Other - Middle Name:
Other - Last Name:MISKEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ALC, NCC
Mailing Address - Street 1:100 CENTURY PARK S STE 102
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3922
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 CENTURY PARK S STE 102
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3922
Practice Address - Country:US
Practice Address - Phone:205-565-6554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health