Healthcare Provider Details

I. General information

NPI: 1376482919
Provider Name (Legal Business Name): VERDANT MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4746 N PLACITA CAZADOR
TUCSON AZ
85718-6844
US

IV. Provider business mailing address

4746 N PLACITA CAZADOR
TUCSON AZ
85718-6844
US

V. Phone/Fax

Practice location:
  • Phone: 480-235-9434
  • Fax:
Mailing address:
  • Phone: 480-235-9434
  • 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: DR. EVAN C MOORE
Title or Position: FOUNDER
Credential: DNP, PMHNP-BC
Phone: 480-235-9434