Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Destiny Med Spa PLLC

Organization Multi-Specialty Clinic/Center · NPI 1184181091

Destiny Med Spa PLLC is a Multi-Specialty Clinic/Center in Williston, North Dakota. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1415 W Dakota Pkwy Ste 3B
Williston, ND 58801-3885
Phone: (701) 354-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1184181091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Clair — Director/Practice Manager · (701) 354-9200
NPI enumeratedFebruary 27, 2019
Last updated in NPPESFebruary 27, 2019
Mailing address1415 W Dakota Pkwy Ste 3b, Williston, ND 58801-3885

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