Healthcare Provider Details

I. General information

NPI: 1073313995
Provider Name (Legal Business Name): RSLNT WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1371 BUSINESS PARK DR STE 100
OREM UT
84058-2252
US

IV. Provider business mailing address

1981 W 475 S
OREM UT
84059-2616
US

V. Phone/Fax

Practice location:
  • Phone: 385-866-3129
  • Fax:
Mailing address:
  • Phone: 808-897-5155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ISAAC TOLEAFOA
Title or Position: OWNER/MANAGER
Credential:
Phone: 808-897-5155