Provider Demographics
NPI:1184462277
Name:PINKSTON, DESTINY GAYLE (LPC)
Entity type:Individual
Prefix:
First Name:DESTINY
Middle Name:GAYLE
Last Name:PINKSTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8195 COUNTY ROAD 151
Mailing Address - Street 2:
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-7320
Mailing Address - Country:US
Mailing Address - Phone:817-690-7323
Mailing Address - Fax:
Practice Address - Street 1:506 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-2406
Practice Address - Country:US
Practice Address - Phone:972-932-8898
Practice Address - Fax:972-932-8890
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89294101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor