Provider Demographics
NPI:1922745371
Name:DIAGONAL HOUSE LLC
Entity Type:Organization
Organization Name:DIAGONAL HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:POMEROY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:801-946-7260
Mailing Address - Street 1:4942 W WEATHERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-1850
Mailing Address - Country:US
Mailing Address - Phone:801-946-7260
Mailing Address - Fax:
Practice Address - Street 1:11075 S STATE ST STE 35
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-5187
Practice Address - Country:US
Practice Address - Phone:801-810-6110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty