Zelda Marie Verrett
LBN: Zelda Marie Verrett
Zelda Marie Verrett is an health care organization with primary practice located at 1003 E Cooley Dr Ste 207 , Colton CA 92324-3907. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty.
Zelda Marie Verrett can be contacted via phone (909) 533-4585, or through Verrett-Earl, Tajuan Nichole via phone (909) 533-4574.
Contact Information
Primary practice address
1003 E Cooley Dr Ste 207
Colton CA 92324-3907
Phone: (909) 533-4585
Fax: (909) 533-4590
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
NPI number | 1225650732 |
---|---|
LBN Legal business name | Zelda Marie Verrett |
DBA Doing business as | |
Authorized official | Verrett-Earl, Tajuan Nichole |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 7th, 2020 |
Last updated | May 8th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225650732 | NPPES |
California | MEDICAID | 100143845 |
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