Shadow Mountain Mental Health

LBN: Shadow Mountain Mental Health
Shadow Mountain Mental Health is an health care organization with primary practice located at 1200 28Th St Ste 200B , Boulder CO 80303-1756. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Shadow Mountain Mental Health can be contacted via phone (505) 716-0958, or through Miller, Anne Elizabeth via phone (505) 716-0958.

Contact Information

Primary practice address
1200 28Th St Ste 200B Boulder CO 80303-1756
Phone: (505) 716-0958
Fax: (720) 684-5091
Website:
Map and Directions
Authorized official contact:
Name: Miller, Anne Elizabeth PMHNP-BC
Phone: (505) 716-0958

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1437709987
LBN Legal business name Shadow Mountain Mental Health
DBA Doing business as
Authorized official Miller, Anne Elizabeth PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2019
Last updated Jul 27th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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