Provider Demographics
NPI:1679195879
Name:VERITY HEALTH, LLC
Entity type:Organization
Organization Name:VERITY HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C, PMHNP-BC
Authorized Official - Phone:520-820-3028
Mailing Address - Street 1:2039 S MILL AVE STE D
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-2137
Mailing Address - Country:US
Mailing Address - Phone:602-888-4464
Mailing Address - Fax:949-655-2666
Practice Address - Street 1:2039 S MILL AVE STE C
Practice Address - Street 2:RM 22
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-4155
Practice Address - Country:US
Practice Address - Phone:602-888-4464
Practice Address - Fax:949-655-2666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care