MEDICARE: RSLNT WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1073313995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RSLNT WELLNESS LLC

Provider Business Mailing Address
First Line	:	1981 W 475 S
Second Line	:
City	:	OREM
State	:	UT
Zip	:	84059-2616
Country	:	US
Telephone Number	:	808-897-5155
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 TOWNE CENTRE BLVD SPC 1120
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84601-2934
Country	:	US
Telephone Number	:	385-866-3129
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	ISAAC TOLEAFOA
Credential	:
Telephone Number	:	808-897-5155

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	02/05/2026

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Directions to “RSLNT WELLNESS LLC ” Practice Location

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