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SPACE TO HEAL MENTAL HEALTH SERVICES
NPI 1184219636
Counselor - Professional in Milwaukee, WI

Active since March 06, 2021
333 W BROWN DEER RD UNIT G526, MILWAUKEE, WI 53217(832) 947-4673 Get Directions Write a Review

NPPES record last updated: March 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Space To Heal Mental Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPACE TO HEAL MENTAL HEALTH SERVICES (NPI 1184219636) is a healthcare organization registered as a professional in Milwaukee, Wisconsin and active in the NPI registry since March 2021. The organization lists Aasiyah Clark, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1184219636
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSPACE TO HEAL MENTAL HEALTH SERVICES
Location Address333 W BROWN DEER RD UNIT G526Milwaukee, WI 53217-2372
Mailing Address333 W Brown Deer Rd Unit G526Milwaukee, WI 53217-2372 · (832) 947-4673
Phone(832) 947-4673
Organization SubpartNo
Authorized OfficialAasiyah ClarkPsychotherapist · (832) 947-4673
Enumeration DateMarch 6, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1184219636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
333 W BROWN DEER RD UNIT G526, Milwaukee, WI 53217
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Other Identifiers 1

Medicaid1235578709LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Space To Heal Mental Health Services's NPI number?

The NPI number for Space To Heal Mental Health Services is 1184219636. It was assigned to this organization in the NPPES registry on March 6, 2021.

Where is Space To Heal Mental Health Services located?

Space To Heal Mental Health Services is located at 333 W Brown Deer Rd Unit G526, Milwaukee, WI 53217. The listed phone number is (832) 947-4673.

What is Space To Heal Mental Health Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Space To Heal Mental Health Services was last updated on March 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.