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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