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Organization
MOUNTAIN MENTAL HEALTH LLC
Active
Organization
MOUNTAIN MENTAL HEALTH LLC
Active
Other names
Mountain Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EMERON CARTER PMHNP (PMHNP)
(801) 918-1786
Entity
Organization
Contact information
Practice address
4516 S 700 E STE 370, SALT LAKE CITY, UT 84107-8317
(801) 918-1786
(385) 200-0285
Mailing address
4516 S 700 E STE 370, MURRAY, UT 84107-8317
(801) 918-1786
(385) 200-0285
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
08/30/2023
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