Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Destiny Sober Living

Addiction (Substance Use Disorder) Counselor in Phoenix, AZ · enumerated 2017 · authorized official Kathleen Bynum, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104365287

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Registry record

Entity type Organization (Type 2)

Legal business name Destiny Sober Living

Practice address 5306 N 17th Ave, Phoenix, AZ, 85015

Phone (602) 249-6674

Fax (602) 926-0590

Enumeration date Feb 22, 2017

Last updated in NPPES Feb 22, 2017

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License BH3285 (AZ) Primary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License BH3285 (AZ) Secondary

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary

Authorized official

Name Kathleen Bynum

Title Executive Director

Phone (602) 249-6674

Other identifiers

Identifier	Type	State	Issuer
439095	Medicaid	AZ	-
148801	Medicaid	AZ	-
925164	Medicaid	AZ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-02-22. Verify at npiregistry.cms.hhs.gov.

Where is Destiny Sober Living located?

The practice location on file with NPPES is in Phoenix, AZ.

Providers at this address

Browse all →

Destiny Sober Living Substance Abuse Rehabilitation Facility · Phoenix, AZ NPI 1336377050 Family Institute for Health and Recovery Community/Behavioral Health Agency · Phoenix, AZ NPI 1023465481 Eva Corona Addiction (Substance Use Disorder) Counselor · Phoenix, AZ NPI 1316607625 Kelly Bennett Addiction (Substance Use Disorder) Counselor · Phoenix, AZ NPI 1184384489

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-22.