Healthcare Provider Details

I. General information

NPI: 1831025683
Provider Name (Legal Business Name): EVERMIND MENTAL HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E WASHINGTON ST FL 8
PHOENIX AZ
85004-2960
US

IV. Provider business mailing address

2001 N LAMAR ST STE 300
DALLAS TX
75202-1743
US

V. Phone/Fax

Practice location:
  • Phone: 623-288-2628
  • Fax:
Mailing address:
  • Phone: 469-444-8515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: COLE WALKER
Title or Position: CONTRACTING/CREDENTIALING SUPERVISO
Credential:
Phone: 469-444-8515