Healthcare Provider Details

I. General information

NPI: 1417866146
Provider Name (Legal Business Name): GATHERING GROUND THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2076 E ASH DOWN LN
DRAPER UT
84020-2512
US

IV. Provider business mailing address

2076 E ASH DOWN LN
DRAPER UT
84020-2512
US

V. Phone/Fax

Practice location:
  • Phone: 801-360-0109
  • Fax:
Mailing address:
  • Phone: 801-360-0109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE WATKINS
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 801-360-0109