Provider Demographics
NPI:1124913116
Name:MULLINS, DESTINY VICTORIA (AUD)
Entity type:Individual
Prefix:DR
First Name:DESTINY
Middle Name:VICTORIA
Last Name:MULLINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 W 29TH ST
Mailing Address - Street 2:APT. 111
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634
Mailing Address - Country:US
Mailing Address - Phone:303-434-4007
Mailing Address - Fax:
Practice Address - Street 1:6500 W 29TH ST
Practice Address - Street 2:UNIT 106
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634
Practice Address - Country:US
Practice Address - Phone:970-330-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist