Provider Demographics
NPI:1770132748
Name:ULONNAYA, DESTINY MUNACHISO (LMHC)
Entity type:Individual
Prefix:
First Name:DESTINY
Middle Name:MUNACHISO
Last Name:ULONNAYA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:DESTINY
Other - Middle Name:MUNACHISO
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1129 RIVERDALE ST # 1047
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4615
Mailing Address - Country:US
Mailing Address - Phone:413-474-8863
Mailing Address - Fax:
Practice Address - Street 1:153 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01109-4016
Practice Address - Country:US
Practice Address - Phone:844-642-9355
Practice Address - Fax:413-732-0309
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MALMHC5000885101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health