Destiny Polk, is a
Psychologist - Counseling based in Booneville, Mississippi. Destiny Polk is licensed to practice in * (Not Available) (license number ) and her current practice location is
609 E Church St, Booneville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 728-2488.
NPI number for Destiny Polk is 1831938034 and her current mailing address is 1867 Crane Ridge Dr Ste 150c, Jackson, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831938034.
Healthcare Provider's Profile
Full Name | Destiny Polk |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 609 E Church St, Booneville, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831938034
- Provider Enumeration Date: 05/20/2024
- Last Update Date: 05/20/2024
Medical Identifiers
Medical identifiers for Destiny Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831938034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Destiny Polk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Destiny Polk, 1867 Crane Ridge Dr Ste 150c, Jackson, MS 39216-4982 Ph: () - | Destiny Polk, 609 E Church St, Booneville, MS 38829-3711 Ph: (662) 728-2488 |
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