Eternity Services LLC
NPI 1013646678 · Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ
Eternity Services LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Phoenix, AZ (NPI 1013646678).
Provider details
- NPI number
- 1013646678
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Derrick Montgomery, Managing Partner(602) 621-5126
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-08
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Frequently asked questions
- What is Eternity Services LLC's NPI number?
- Eternity Services LLC's National Provider Identifier (NPI) is 1013646678, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eternity Services LLC?
- Eternity Services LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Eternity Services LLC located?
- Eternity Services LLC's practice location on file with NPPES is 2200 W Bethany Home Rd Ste 1, Phoenix, AZ 85015-1937.
- What is Eternity Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Eternity Services LLC is (602) 601-4104.
- Who is the authorized official for Eternity Services LLC?
- The authorized official listed on Eternity Services LLC's NPPES record is Derrick Montgomery, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eternity Services LLC's NPI active?
- Yes — Eternity Services LLC's NPI (1013646678) is active in the NPPES registry as of the last update on 2022-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.