Bankhead, Destiny Marie

Bankhead, Destiny Marie is an individual health care provider with primary practice located at 10011 Se Division St Suite # 305, Portland OR 97266-1351. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bankhead, Destiny Marie can be contacted via phone (503) 335-5975.

Contact Information

Primary practice address
10011 Se Division St Suite # 305 Portland OR 97266-1351
Phone: (503) 335-5975
Fax: (503) 335-5974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1114273471
LBN Legal business name Bankhead, Destiny Marie
Credentials MS, LPSC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2012
Last updated Jul 24th, 2012 - 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.

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