# HEALING HEART CENTER FOR MEANINGFUL CHANGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023537420
- **Authorized official:** SHAWNA JEAN GILLEN LCMHC (MANAGER)
- **Authorized official phone:** (435) 849-0598

## Contact information

- **Practice address:** 300 S MAIN ST STE 2, TOOELE, UT 84074-2784
- **Practice address phone:** (435) 849-0598
- **Mailing address:** 355 DIMAGGIO DR, TOOELE, UT 84074-9297
- **Mailing address phone:** (435) 849-0598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 8161136-6004 | UT | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 09/18/2017