Your Destiny Ministry Inc

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

YOUR DESTINY MINISTRY INC

Practice address

14819 Plymouth Rd
Detroit, MI 48227-2443

Phone

(123) 168-3659

NPI assigned

Nov 4, 2016

Organization subpart

Yes

Parent organization

YOUR DESTINY MINISTRY INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anthony Howard Spicer Jr.

Title

Pastor/President

Phone

(231) 683-6592

Specialties & licenses 4

Addresses

Part of

Your Destiny Ministry Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1386186534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 PEMBROKE AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211160",
            "telephone_number": "123-168-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14819 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272443",
            "telephone_number": "123-168-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DESTINY MINISTRY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUR DESTINY MINISTRY INC",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PASTOR/PRESIDENT",
        "authorized_official_telephone_number": "12316836592",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aylie Hannah Yousif, NONE

• Pastoral Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Pastoral Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.