Healthcare Provider Details

I. General information

NPI: 1598572695
Provider Name (Legal Business Name): PARTNERS FOR MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 N EAST PROMONTORY STE 233
FARMINGTON UT
84025-2950
US

IV. Provider business mailing address

240 N EAST PROMONTORY STE 233
FARMINGTON UT
84025-2950
US

V. Phone/Fax

Practice location:
  • Phone: 801-951-2351
  • Fax: 801-951-2351
Mailing address:
  • Phone: 801-951-2351
  • Fax: 801-951-2351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JONATHAN FOX
Title or Position: CO-OWNER
Credential:
Phone: 801-951-2351