Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Wholelife Family Wellness Clinic of Providence PLLC

Organization Mental Health Counselor · NPI 1962049932

Wholelife Family Wellness Clinic of Providence PLLC provides Mental Health Counselor services in Providence, Utah. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

169 N Gateway Dr Ste 170
Providence, UT 84332
Phone: (435) 213-3597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1962049932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalie Gibson — Co-Owner · (435) 213-3597
NPI enumeratedDecember 9, 2019
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020
Mailing address274 N Main St, Logan, UT 84321-3915

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