Healthcare Provider Details

I. General information

NPI: 1952210759
Provider Name (Legal Business Name): FIREFLY HOLISTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1452 E RIDGELINE DR STE 5
SOUTH OGDEN UT
84405-4949
US

IV. Provider business mailing address

1452 E RIDGELINE DR STE 5
SOUTH OGDEN UT
84405-4949
US

V. Phone/Fax

Practice location:
  • Phone: 801-876-7660
  • Fax: 801-701-8709
Mailing address:
  • Phone: 801-876-7660
  • Fax: 801-701-8709

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: ASHLEY GREENHALGH
Title or Position: OWNER
Credential: FNP, PMHNP
Phone: 801-876-7660