DEMERS MENTAL HEALTH - NPI 1003920513 - Counselor in Salt Lake City, UT

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Demers Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMERS MENTAL HEALTH (NPI 1003920513) is a healthcare organization registered as a mental health in Salt Lake City, Utah and active in the NPI registry since August 2006. The organization lists Shaun Demers, Owner/aprn, as its authorized official.

NPPES Registry Identity

NPI1003920513

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameDEMERS MENTAL HEALTH

Location Address124 S 400 E STE 230Salt Lake City, UT 84111-5313

Mailing AddressPo Box 581333Salt Lake City, UT 84158-1333 · (801) 597-5686 · Fax (801) 595-0669

Phone(801) 597-5686

Fax(801) 595-0669

Organization SubpartNo

Authorized OfficialShaun DemersOwner/aprn · (801) 597-5686

Enumeration DateAugust 19, 2006

Last NPPES UpdateJune 24, 2010

✔ NPI 1003920513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in UT · 2838734405

124 S 400 E STE 230, Salt Lake City, UT 84111

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Other Identifiers 3

Other71546UT · Pehp

Other28387344002001UT · Bcbs Of Utah

Medicare PIN000061568UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA ADAMS

Social Worker (Clinical)