Healthcare Provider Details

I. General information

NPI: 1801745385
Provider Name (Legal Business Name): MINDFULLY FIT WELLNESS AND PSYCHIATRY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 W SUNSET BLVD SUITE 21
SAINT GEORGE UT
84770
US

IV. Provider business mailing address

929 W SUNSET BLVD STE 21
ST GEORGE UT
84770-4867
US

V. Phone/Fax

Practice location:
  • Phone: 385-446-0018
  • Fax: 385-503-3782
Mailing address:
  • Phone: 385-446-0018
  • Fax: 385-503-3782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: IESHA IWOBI
Title or Position: CEO
Credential: PA
Phone: 385-446-0018