# MOUNTAIN MENTAL HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588378442
- **Authorized official:** SHANE EMERON CARTER PMHNP (PMHNP)
- **Authorized official phone:** (801) 918-1786

## Contact information

- **Practice address:** 4516 S 700 E STE 370, SALT LAKE CITY, UT 84107-8317
- **Practice address phone:** (801) 918-1786
- **Practice address fax:** (385) 200-0285
- **Mailing address:** 4516 S 700 E STE 370, MURRAY, UT 84107-8317
- **Mailing address phone:** (801) 918-1786
- **Mailing address fax:** (385) 200-0285

## Taxonomy

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

## Other

- **Enumeration date:** 01/05/2023
- **Last updated:** 08/30/2023