# HEADSPACE COUNSELING

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

## Provider details

- **NPI number:** 1558151894
- **Authorized official:** RACHAEL COLLINS (OWNER)
- **Authorized official phone:** (801) 645-5790

## Contact information

- **Practice address:** 75 E FORT UNION BLVD \# 101, MIDVALE, UT 84047-1531
- **Practice address phone:** (801) 214-8755
- **Mailing address:** 75 E FORT UNION BLVD \# 101, MIDVALE, UT 84047-1531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2025
- **Last updated:** 05/09/2025