Warren, Destini

Warren, Destini is an individual health care provider with primary practice located at 590 Manning Dr , Chapel Hill NC 27599-4497. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Warren, Destini can be contacted via phone (984) 215-5222.

Contact Information

Primary practice address
590 Manning Dr Chapel Hill NC 27599-4497
Phone: (984) 215-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P010109 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P015811 North Carolina

Profile Details

NPI number 1356706626
LBN Legal business name Warren, Destini
Credentials MSW, LCSW-A
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2015
Last updated Mar 12th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356706626 NPPES
North Carolina MEDICAID 101YP2500X

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