Healthcare Provider Details

I. General information

NPI: 1992657258
Provider Name (Legal Business Name): DEPENDABLE MENTAL HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 S STAPLEY DR STE 120
MESA AZ
85204-6676
US

IV. Provider business mailing address

407 COOPERS POND DR
LAWRENCEVILLE GA
30044-5231
US

V. Phone/Fax

Practice location:
  • Phone: 240-565-1688
  • Fax:
Mailing address:
  • Phone: 240-565-1688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VICTOR ORTEGA
Title or Position: PMHNP
Credential: PMHNP
Phone: 240-565-1688