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Organization

HEAD-SPACE MENTAL HEALTH CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENAY KELLY (CEO)
(507) 884-0651
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
10/04/2023
Last updated
03/30/2026
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