Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Space to Heal Mental Health Services

Organization Professional Counselor · NPI 1184219636

Space to Heal Mental Health Services provides Professional Counselor services in Milwaukee, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

333 W Brown Deer Rd Unit G526
Milwaukee, WI 53217-2372
Phone: (832) 947-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1184219636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aasiyah Clark — Psychotherapist · (832) 947-4673
NPI enumeratedMarch 6, 2021
Last updated in NPPESMarch 6, 2021
Certification dateFebruary 23, 2021
Mailing address333 W Brown Deer Rd Unit G526, Milwaukee, WI 53217-2372

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