| Destiny & Miracle Llc | |
|
2551 Pembroke Rd Gastonia NC 28054-4712 | |
| (678) 545-7340 | |
| (704) 691-7044 |
| Full Name | Destiny & Miracle Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2551 Pembroke Rd, Gastonia, North Carolina |
| Authorized Official Name and Position | Antoinette Steele (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6785457340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny & Miracle Llc 2551 Pembroke Rd Gastonia NC 28054-4712 Ph: (678) 545-7340 | Destiny & Miracle Llc 2551 Pembroke Rd Gastonia NC 28054-4712 Ph: (678) 545-7340 |
| NPI Number | 1801409859 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801409859 | NPI | - | NPPES |
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