ETERNITY SERVICES LLC
NPI 1013646678
Clinic/Center - Mental Health (Including Community Mental Health Center) in Phoenix, AZ
About Eternity Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETERNITY SERVICES LLC (NPI 1013646678) is a healthcare organization registered as a mental health (including community mental health center) in Phoenix, Arizona and active in the NPI registry since June 2022. The organization lists Derrick Montgomery, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eternity Services LLC's NPI number?
The NPI number for Eternity Services LLC is 1013646678. It was assigned to this organization in the NPPES registry on June 8, 2022.
Where is Eternity Services LLC located?
Eternity Services LLC is located at 2200 W Bethany Home Rd Ste 1, Phoenix, AZ 85015. The listed phone number is (602) 601-4104.
What is Eternity Services LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Eternity Services LLC was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eternity Services Llc · NPI 1013646678
Mental Health (Including Community Mental Health Center) organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since June 8, 2022.
## Identity
- **NPI:** 1013646678 (Entity type: Organization)
- **Enumerated:** June 8, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Derrick Montgomery, MANAGING PARTNER
## Practice location
- **Address:** 2200 W BETHANY HOME RD STE 1, Phoenix, AZ 85015-1937
- **Phone:** (602) 601-4104
## Record status
- **NPPES last updated:** June 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1013646678) · Data from the CMS NPPES public registry.