NPI 1730326919

Heritage Counseling, PLLC

Organisation Exclusive Provider Organization Syracuse, UT

Practice location

Address: 1747 Heritage Ln STE B103, Syracuse, UT 84075-8546
Phone: (801) 525-6975
Fax: (801) 525-6988

Authorised official

Name: Diana Lynn Newberry
Title: Owner
Phone: (801) 525-6975

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 6810992-0162 (UT)

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Registry record

NPI: 1730326919
Entity type: Organization
NPI issued: 9 Jan 2009
Record last updated: 9 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.