Individual provider · Type 1 NPI

Destiny L. Page

Mental Health Clinic/Center (Including Community Mental Health Center) · Detroit, MI

NPI number 1134096308 Active

Practice location

14077 Fairmount Dr
Detroit, MI 48205-1269

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1134096308

Destiny L. Page's National Provider Identifier is 1134096308, issued on Oct 21, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Detroit, MI. The record was last updated on Oct 23, 2025.