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

Destiny Sober Living

Organization Addiction (Substance Use Disorder) Counselor · NPI 1104365287

Destiny Sober Living is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
Specialties on file
3

Practice location Address checks out

5306 N 17th Ave
Phoenix, AZ 85015-3035
Phone: (602) 249-6674
Fax: (602) 926-0590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence BH3285 (AZ)
Mental Health Counselor Taxonomy 101YM0800X · Licence BH3285 (AZ)
Professional Counselor Taxonomy 101YP2500X (AZ)

Record details

NPI number1104365287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Bynum — Executive Director · (602) 249-6674
NPI enumeratedFebruary 22, 2017
Last updated in NPPESFebruary 22, 2017
Mailing address5306 N 17th Ave, Phoenix, AZ 85015-3035

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