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General NPI Number Information
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NPI Number | 1992661128
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Entity Type | Organization
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Legal Business Name | VERDANT HOPE THERAPY & EVALUATIONS LLC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 3048 E BASELINE RD STE 118
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City | MESA
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State | AZ
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Zip | 85204-7288
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Country | US
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Telephone | 480-322-5720
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Fax |
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Provider Business Mailing Address
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Address Line | 67 S HIGLEY RD # 103-476
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City | GILBERT
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State | AZ
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Zip | 85296-1166
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Country | US
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Telephone | 480-322-5720
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KOLETTE BUTLER
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Credential | JD, PSYD
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Telephone | 480-322-5720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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