MEDICARE: VITALITY HEALTH AND PSYCHIATRIC SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1003770165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITALITY HEALTH AND PSYCHIATRIC SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 3635
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-2561
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	868 COVE PKWY STE 1
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-5567
Country	:	US
Telephone Number	:	509-859-3206
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER/OWNER
Name	:	KATHERINE P GARFIELD
Credential	:	FNP-BC
Telephone Number	:	509-859-3206

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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