| Healing Heart Center For Meaningful Change Llc | |
|
300 S Main St Ste 2 Tooele UT 84074-2784 | |
| (435) 849-0598 | |
| Not Available |
| Full Name | Healing Heart Center For Meaningful Change Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 300 S Main St Ste 2, Tooele, Utah |
| Authorized Official Name and Position | Shawna Jean Gillen (MANAGER) |
| Authorized Official Contact | 4358490598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Heart Center For Meaningful Change Llc 355 Dimaggio Dr Tooele UT 84074-9297 Ph: (435) 849-0598 | Healing Heart Center For Meaningful Change Llc 300 S Main St Ste 2 Tooele UT 84074-2784 Ph: (435) 849-0598 |
| NPI Number | 1023537420 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 09/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023537420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8161136-6004 (Utah) | Primary |
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