Provider Demographics
NPI:1376338228
Name:YORK, DESTINY (MS, LPC, NCC)
Entity type:Individual
Prefix:
First Name:DESTINY
Middle Name:
Last Name:YORK
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CAMBRIDGE CV
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-9655
Mailing Address - Country:US
Mailing Address - Phone:615-879-6081
Mailing Address - Fax:
Practice Address - Street 1:105 CAMBRIDGE CV
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-9655
Practice Address - Country:US
Practice Address - Phone:615-879-6081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3245101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health