DESTINY TAYLOR WILLIS NPI 1194586768

NPI Information

  • NPI: 1194586768
  • Provider Name: DESTINY TAYLOR WILLIS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 1764 LINDA AVE
    APT 2
    MARYSVILLE, CA
    ZIP 95901
  • Phone: (530) 649-4426

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NPI Details

Destiny Taylor Willis is a peer specialist in Marysville, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Destiny Taylor Willis NPI is 1194586768. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1764 LINDA AVE
APT 2
MARYSVILLE, CA
ZIP 95901
Phone: (530) 649-4426

The enumeration date for this NPI number is 1/19/2024 and was last updated on 12/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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