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Organization
HEALING HEART CENTER FOR MEANINGFUL CHANGE LLC
Active
Organization
HEALING HEART CENTER FOR MEANINGFUL CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA JEAN GILLEN LCMHC (MANAGER)
(435) 849-0598
Entity
Organization
Contact information
Practice address
300 S MAIN ST STE 2, TOOELE, UT 84074-2784
(435) 849-0598
Mailing address
355 DIMAGGIO DR, TOOELE, UT 84074-9297
(435) 849-0598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8161136-6004
UT
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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