Provider Demographics
NPI:1003708405
Name:HOEHLER, DESTINY E
Entity type:Individual
Prefix:MRS
First Name:DESTINY
Middle Name:E
Last Name:HOEHLER
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 LAUMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73503-1246
Mailing Address - Country:US
Mailing Address - Phone:606-310-3586
Mailing Address - Fax:
Practice Address - Street 1:3934 DIXIE HWY STE 210
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-4176
Practice Address - Country:US
Practice Address - Phone:502-709-5029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY299469101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health