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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
261QM0850X
Adult Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/05/2023
Last updated
08/30/2023
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