Organization
MAMMOTH MENTAL HEALTH LLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
BRITA CUMMINGS (EXECUTIVE ASSITANT)
(801) 380-2838
Entity
Organization
Contact information
Practice address
3051 W MAPLE LOOP DR STE 300, LEHI, UT 84043-6552
(385) 336-4740
Mailing address
1250 E 1600 S, MAPLETON, UT 84664-5304
(801) 380-2838
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/18/2022
Last updated
02/21/2024
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