Healthcare Provider Details

I. General information

NPI: 1992661128
Provider Name (Legal Business Name): VERDANT HOPE THERAPY & EVALUATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3048 E BASELINE RD STE 118
MESA AZ
85204-7288
US

IV. Provider business mailing address

67 S HIGLEY RD # 103-476
GILBERT AZ
85296-1166
US

V. Phone/Fax

Practice location:
  • Phone: 480-322-5720
  • Fax:
Mailing address:
  • Phone: 480-322-5720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. KOLETTE BUTLER
Title or Position: OWNER
Credential: JD, PSYD
Phone: 480-322-5720