Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wholelife Family Wellness Clinic of Providence PLLC

Organization Mental Health Counselor · NPI 1962049932

Wholelife Family Wellness Clinic of Providence PLLC is a Mental Health Counselor 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

169 N Gateway Dr Ste 170
Providence, UT 84332
Phone: (435) 213-3597
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Providence