Healthcare Provider Details

I. General information

NPI: 1396451126
Provider Name (Legal Business Name): HEARTEN HOUSE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2023
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 W BROADWAY STE 222
SALT LAKE CITY UT
84101-2038
US

IV. Provider business mailing address

314 W BROADWAY STE 222
SALT LAKE CITY UT
84101-2038
US

V. Phone/Fax

Practice location:
  • Phone: 801-410-0760
  • Fax:
Mailing address:
  • Phone: 801-410-0760
  • 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 StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: AIMEE J HADFIELD
Title or Position: OWNER
Credential: LCSW
Phone: 801-913-1777