Grimes, Destinie T
Grimes, Destinie T is an sole proprietor health care provider with primary practice located at 43520 Division St , Lancaster CA 93535-4089. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Grimes, Destinie T can be contacted via phone (661) 266-4783.Contact Information
Primary practice address
43520 Division St
Lancaster CA 93535-4089
Phone: (661) 266-4783
Fax: (661) 266-1210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1821382920 |
|---|---|
| LBN Legal business name | Grimes, Destinie T |
| Credentials | MSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2011 |
| Last updated | Jun 6th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821382920 | NPPES |
| California | Other | 95-2633765 | MEDI-CAL |
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