Provider Demographics
NPI:1578263240
Name:MOUNTAIN HEALTH AND PSYCHIATRIC SERVICES, LLC
Entity type:Organization
Organization Name:MOUNTAIN HEALTH AND PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTIANY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C PMHNP-BC
Authorized Official - Phone:970-880-0951
Mailing Address - Street 1:46 EATON DR STE 1
Mailing Address - Street 2:
Mailing Address - City:PAGOSA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81147-8203
Mailing Address - Country:US
Mailing Address - Phone:970-880-0951
Mailing Address - Fax:970-507-6016
Practice Address - Street 1:46 EATON DR STE 1
Practice Address - Street 2:
Practice Address - City:PAGOSA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81147-8203
Practice Address - Country:US
Practice Address - Phone:970-880-0951
Practice Address - Fax:970-507-6016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty