# HERITAGE COUNSELING, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730326919
- **Authorized official:** DIANA LYNN NEWBERRY LCSW (OWNER)
- **Authorized official phone:** (801) 525-6975

## Contact information

- **Practice address:** 1747 HERITAGE LN STE B103, SYRACUSE, UT 84075-8546
- **Practice address phone:** (801) 525-6975
- **Practice address fax:** (801) 525-6988
- **Mailing address:** 1747 HERITAGE LN STE B103, SYRACUSE, UT 84075-8546
- **Mailing address phone:** (801) 525-6975
- **Mailing address fax:** (801) 525-6988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 6810992-0162 | UT | Yes |

## Other

- **Enumeration date:** 01/09/2009
- **Last updated:** 01/09/2009