Organization
HEADSPACE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL COLLINS (OWNER)
(801) 645-5790
Entity
Organization
Contact information
Practice address
75 E FORT UNION BLVD # 101, MIDVALE, UT 84047-1531
(801) 214-8755
Mailing address
75 E FORT UNION BLVD # 101, MIDVALE, UT 84047-1531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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