Healthcare Provider Details

I. General information

NPI: 1285672386
Provider Name (Legal Business Name): HEATHER LUND DRAUGHAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7070 S UNION PARK AVE STE 150
MIDVALE UT
84047-6043
US

IV. Provider business mailing address

7070 S UNION PARK AVE STE 150
MIDVALE UT
84047-6043
US

V. Phone/Fax

Practice location:
  • Phone: 801-405-7450
  • Fax: 385-446-2650
Mailing address:
  • Phone: 801-405-7450
  • Fax: 385-446-2650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8463543-3501
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4968-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: