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Organization
MOUNTAIN LIGHT MENTAL HEALTH LLC
Active
Organization
MOUNTAIN LIGHT MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M JOHNSON (OWNER)
(304) 906-2888
Entity
Organization
Contact information
Practice address
32 PIONEER LN, SUMMERSVILLE, WV 26651-1889
(304) 916-0337
(304) 718-5133
Mailing address
32 PIONEER LN, SUMMERSVILLE, WV 26651-1889
(304) 906-2888
(304) 718-5133
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
10/07/2026
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