Provider Demographics
NPI:1386473635
Name:UMATTER MENTORING AND MENTAL HEALTH SERVICES PLLC
Entity type:Organization
Organization Name:UMATTER MENTORING AND MENTAL HEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:JONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PURPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-528-7287
Mailing Address - Street 1:PO BOX 220271
Mailing Address - Street 2:
Mailing Address - City:CENTERFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84622-0271
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:555 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CENTERFIELD
Practice Address - State:UT
Practice Address - Zip Code:84622-7726
Practice Address - Country:US
Practice Address - Phone:435-528-7287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty