Healthcare Provider Details

I. General information

NPI: 1386508752
Provider Name (Legal Business Name): STILLPOINT WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 11/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S MAIN ST STE 100
LOGAN UT
84321-5765
US

IV. Provider business mailing address

701 S MAIN ST STE 100
LOGAN UT
84321-5765
US

V. Phone/Fax

Practice location:
  • Phone: 435-395-5993
  • Fax:
Mailing address:
  • Phone: 435-395-5993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RAQUEL RUGGIERO
Title or Position: OWNER PMHNP
Credential: NP
Phone: 435-395-5993