Organization
DENOVA COLLABORATIVE HEALTH, LLC
Active
Organization
DENOVA COLLABORATIVE HEALTH, LLC
Active
Other names
Bayless Integrated Healthcare, Denova Collaborative Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA RATTO (DIRECTOR QUALITY AND CREDENTIALING)
(602) 230-7373
Entity
Organization
Contact information
Practice address
750 E THUNDERBIRD RD # 1-3, PHOENIX, AZ 85022-5306
(602) 230-7373
(602) 218-6383
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
549874
—
AZ
Enumeration date
07/25/2019
Last updated
06/26/2026
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