| Headspace Counseling | |
|
75 E Fort Union Blvd # 101 Midvale UT 84047-1531 | |
| (801) 214-8755 | |
| Not Available |
| Full Name | Headspace Counseling |
|---|---|
| Speciality | Counselor |
| Location | 75 E Fort Union Blvd # 101, Midvale, Utah |
| Authorized Official Name and Position | Rachael Collins (OWNER) |
| Authorized Official Contact | 8016455790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headspace Counseling 75 E Fort Union Blvd # 101 Midvale UT 84047-1531 | Headspace Counseling 75 E Fort Union Blvd # 101 Midvale UT 84047-1531 Ph: (801) 214-8755 |
| NPI Number | 1558151894 |
|---|---|
| Provider Enumeration Date | 05/09/2025 |
| Last Update Date | 05/09/2025 |
| Certification Date | 05/09/2025 |
| Medicare PECOS PAC ID | 0244739506 |
|---|---|
| Medicare Enrollment ID | O20250814004483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558151894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Rachael Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104365204 PECOS PAC ID: 2769906775 Enrollment ID: I20250425000848 |
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