Healthcare Provider Details

I. General information

NPI: 1932960309
Provider Name (Legal Business Name): LINDA SUE POMAR ACMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 N OREM BLVD
OREM UT
84057-6601
US

IV. Provider business mailing address

158 W WILLET DR
SALEM UT
84653-5679
US

V. Phone/Fax

Practice location:
  • Phone: 435-220-5507
  • Fax:
Mailing address:
  • Phone: 575-342-4995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13583435-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: