Destiny Adult, Child & Family Services Llc | |
701 Dishman Lane Ext Ste 3 Bowling Green KY 42104-4033 | |
(270) 495-1609 | |
(270) 599-0399 |
Full Name | Destiny Adult, Child & Family Services Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 701 Dishman Lane Ext Ste 3, Bowling Green, Kentucky |
Authorized Official Name and Position | Mark Wade Watson (OWNER/DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 2702023595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Destiny Adult, Child & Family Services Llc 701 Dishman Lane Ext Ste 3 Bowling Green KY 42104-4033 Ph: (270) 495-1609 | Destiny Adult, Child & Family Services Llc 701 Dishman Lane Ext Ste 3 Bowling Green KY 42104-4033 Ph: (270) 495-1609 |
NPI Number | 1497030928 |
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Provider Enumeration Date | 10/16/2011 |
Last Update Date | 11/17/2023 |
Certification Date | 11/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497030928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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