Organization
DENOVA COLLABORATIVE HEALTH, LLC
Active
Organization
DENOVA COLLABORATIVE HEALTH, LLC
Active
Other names
Denova Collaborative Health, LLC, Bayless Integrated Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA RATTO (DIRECTOR QUALITY & CREDENTIALING)
(602) 230-7373
Entity
Organization
Contact information
Practice address
506 E WESTERN AVE STE 104, AVONDALE, AZ 85323-2422
(602) 230-7373
(602) 230-3086
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
OTC9070
AZ
208000000X
Pediatrics Physician
OTC9070
AZ
2084P0800X
Psychiatry Physician
OTC9070
AZ
208D00000X
General Practice Physician
OTC9070
AZ
261QM1300X
Multi-Specialty Clinic/Center
Primary
OTC9070
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494475
—
AZ
Enumeration date
08/09/2018
Last updated
06/26/2026
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