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
Fax: (909) 533-4590
Website:
Authorized official contact:
Name: Verrett-Earl, Tajuan Nichole

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225650732 NPPES
California MEDICAID 100143845

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