Healthcare Provider Details

I. General information

NPI: 1215850029
Provider Name (Legal Business Name): JOSHUA G WHATCOTT DBA GOLD BADGE HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1392 W BRIDAL VEIL DR
RIVERTON UT
84065-1615
US

IV. Provider business mailing address

1392 W BRIDAL VEIL DR
RIVERTON UT
84065-1615
US

V. Phone/Fax

Practice location:
  • Phone: 801-891-3352
  • Fax:
Mailing address:
  • Phone: 801-891-3352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA G WHATCOTT
Title or Position: FOUNDER/EXCUTIVE DIRECTOR
Credential: LCSW
Phone: 801-891-3352