Healing Heart Center for Meaningful Change LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8161136-6004 Issued in UT

Legal business name

HEALING HEART CENTER FOR MEANINGFUL CHANGE LLC

Practice address

300 S Main St Ste 2
Tooele, UT 84074-2784

Phone

(435) 849-0598

NPI assigned

Sep 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shawna Jean Gillen, LCMHC

Title

Manager

Phone

(435) 849-0598

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1023537420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 DIMAGGIO DR",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749297",
            "telephone_number": "435-849-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MAIN ST STE 2",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742784",
            "telephone_number": "435-849-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEART CENTER FOR MEANINGFUL CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "GILLEN",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-849-0598",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8161136-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Hartman, LSUDC, ACM, CPSS
• Wyatt Timothy Hayes, PT, DPT
• Zachary Haynes, PHARMD
• Headache Relief Specialists LLC
• Healing Canyon Counseling PLLC
• Health Source of Tooele Inc
• Healthcare for Women LLC
• Elizabeth Heap, R.N.
• Raini K Heap, LCSW
• Heather Morrow

• Mental Health Counselor in Tooele, UT
• Providers in Tooele, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.