Healthcare Provider Details

I. General information

NPI: 1487312468
Provider Name (Legal Business Name): GOLDEN HEART THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 12/07/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 E 5600 S STE 209
MURRAY UT
84107-8126
US

IV. Provider business mailing address

2131 KAYS CREEK DR
LAYTON UT
84040-7881
US

V. Phone/Fax

Practice location:
  • Phone: 385-429-2345
  • Fax:
Mailing address:
  • Phone: 435-512-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ELLEN MARGARET LACHMAR
Title or Position: OWNER
Credential: LMFT, PHD
Phone: 435-512-9000