DEMERS MENTAL HEALTH NPI 1003920513

NPI Information

NPI: 1003920513
Provider Name: DEMERS MENTAL HEALTH
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
124 S 400 E STE 230
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 597-5686
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DEMERS MENTAL HEALTH is a mental health counselor in Salt Lake City, UT. DEMERS MENTAL HEALTH NPI is 1003920513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

124 S 400 E STE 230
SALT LAKE CITY, UT
ZIP 84111-313
Phone: (801) 597-5686
Fax: (801) 595-0669

The provider's authorized official is Shaun Demers .
The authorized official title is Owner/aprn and has the following contact phone number (801) 597-5686.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 6/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2838734405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	71546	OTHER	UTAH	PEHP
2	28387344002001	OTHER	UTAH	BCBS OF UTAH
3	000061568	MEDICARE PIN	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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