Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eternity Services LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1013646678

Eternity Services LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2200 W Bethany Home Rd Ste 1
Phoenix, AZ 85015-1937
Phone: (602) 601-4104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1013646678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Montgomery — Managing Partner · (602) 621-5126
NPI enumeratedJune 8, 2022
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022
Mailing address2925 W Myrtle Ave, Phoenix, AZ 85051-7538

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