# HEAD-SPACE MENTAL HEALTH CORP

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

## Provider details

- **NPI number:** 1417737636
- **Authorized official:** DENAY KELLY (CEO)
- **Authorized official phone:** (507) 884-0651

## Contact information

- **Practice address:** 913 FIR ST W, MADERA, CA 93636-9044
- **Practice address phone:** (507) 884-0651
- **Mailing address:** 201 BOYD ST, PEPIN, WI 54759-9706
- **Mailing address phone:** (507) 884-0651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2023
- **Last updated:** 03/30/2026