Destiny Gold

NPI 1508440470 · on the registry since 2021

Practice

Address: 11030 Jones Bridge Rd Ste 310
Johns Creek, GA 30022
Phone: (678) 691-2206
Organisation at this address: Daniel Eisenman Llc
Keystone Psychiatric Care Llc
Rockridge Behavioral Health Llc
Southern Sky Outpatient Detox, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 106E00000X
106E00000X
Also registered as: 106S00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia