Healthcare Provider Details

I. General information

NPI: 1982550455
Provider Name (Legal Business Name): DEPTH OF HEART LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9119 MONROE ST
SANDY UT
84070-2682
US

IV. Provider business mailing address

9119 MONROE ST
SANDY UT
84070-2682
US

V. Phone/Fax

Practice location:
  • Phone: 385-481-8811
  • Fax:
Mailing address:
  • Phone: 385-481-8811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JAMES ANTHON BEECH
Title or Position: LCSW
Credential:
Phone: 385-481-8811