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

New Destiny Healing LLC

Organization Community/Behavioral Health Agency · NPI 1821794454

New Destiny Healing LLC is a Community/Behavioral Health Agency in San Tan Valley, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2011 W Half Moon Cir
San Tan Valley, AZ 85142-4461
Phone: (626) 710-2595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1821794454
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNew Destiny Healing LLC
Authorized official Jerry Bolanos — Member · (626) 710-2595
NPI enumeratedFebruary 6, 2023
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address530 E Hunt Hwy Ste 103-188, San Tan Valley, AZ 85143-6581

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