Healthcare Provider Details

I. General information

NPI: 1003770165
Provider Name (Legal Business Name): VITALITY HEALTH AND PSYCHIATRIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

868 COVE PKWY STE 1
COTTONWOOD AZ
86326-5567
US

IV. Provider business mailing address

PO BOX 3635
COTTONWOOD AZ
86326-2561
US

V. Phone/Fax

Practice location:
  • Phone: 509-859-3206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE P GARFIELD
Title or Position: PROVIDER/OWNER
Credential: FNP-BC
Phone: 509-859-3206