Provider Demographics
NPI:1487312468
Name:GOLDEN HEART THERAPY LLC
Entity type:Organization
Organization Name:GOLDEN HEART THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:LACHMAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, PHD
Authorized Official - Phone:435-512-9000
Mailing Address - Street 1:2131 KAYS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-7881
Mailing Address - Country:US
Mailing Address - Phone:435-512-9000
Mailing Address - Fax:
Practice Address - Street 1:141 E 5600 S STE 209
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-8126
Practice Address - Country:US
Practice Address - Phone:385-429-2345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT00910OtherREGENCE BLUE CROSS BLUE SHIELD