Walls, Destiny Marie

Walls, Destiny Marie is an individual health care provider with primary practice located at 188 W Illinois Hwy , New Lenox IL 60451-5501. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Walls, Destiny Marie can be contacted via phone (779) 803-1373.

Contact Information

Primary practice address
188 W Illinois Hwy New Lenox IL 60451-5501
Phone: (779) 803-1373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1477237188
LBN Legal business name Walls, Destiny Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2023
Last updated Jun 13th, 2023 - about 3 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.

Request for update

Popular Providers