# MOUNTAIN LIGHT MENTAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134068893
- **Authorized official:** JILL M JOHNSON (OWNER)
- **Authorized official phone:** (304) 906-2888

## Contact information

- **Practice address:** 32 PIONEER LN, SUMMERSVILLE, WV 26651-1889
- **Practice address phone:** (304) 916-0337
- **Practice address fax:** (304) 718-5133
- **Mailing address:** 32 PIONEER LN, SUMMERSVILLE, WV 26651-1889
- **Mailing address phone:** (304) 906-2888
- **Mailing address fax:** (304) 718-5133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2026
- **Last updated:** 10/07/2026