Destiny Sober Living
NPI 1104365287 · Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
Destiny Sober Living is a Addiction (Substance Use Disorder) Counselor organization in Phoenix, AZ (NPI 1104365287).
Provider details
- NPI number
- 1104365287
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kathleen Bynum, Executive Director(602) 249-6674
- License
- BH3285 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-02-22
- Last updated
- 2017-02-22
Frequently asked questions
- What is Destiny Sober Living's NPI number?
- Destiny Sober Living's National Provider Identifier (NPI) is 1104365287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Destiny Sober Living?
- Destiny Sober Living is classified in the NPPES registry as Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Destiny Sober Living located?
- Destiny Sober Living's practice location on file with NPPES is 5306 N 17th Ave, Phoenix, AZ 85015-3035.
- What is Destiny Sober Living's phone number?
- The practice phone number listed in the NPPES registry for Destiny Sober Living is (602) 249-6674.
- Who is the authorized official for Destiny Sober Living?
- The authorized official listed on Destiny Sober Living's NPPES record is Kathleen Bynum, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Destiny Sober Living's NPI active?
- Yes — Destiny Sober Living's NPI (1104365287) is active in the NPPES registry as of the last update on 2017-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.