Space To Heal Mental Health Services
NPI 1184219636ActiveOrganization· Counselor, Professional· Milwaukee, WI
Counselor, Professional in Milwaukee, Wisconsin, registered in NPPES in March 2021. The authorized official on file is Aasiyah Clark, Psychotherapist.
Overview
| NPI | 1184219636 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2021 |
| Last updated in NPPES | Mar 6, 2021 |
| Certified by provider | Feb 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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