Mended Wings, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENDED WINGS, LLC

Practice address

8401 Mayland Dr # 10737
Richmond, VA 23294-4648

Phone

(703) 633-0002

NPI assigned

May 26, 2026

Organization subpart

No

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

Authorized official

Name

Keisha Dennis, LCSWNPI 1992699383

Title

Ceo

Phone

(703) 633-0002

Specialties & licenses 1

Addresses

Other names 6

• Mended Wings Academy Doing business as
• Mended Wings Supported Employment Doing business as
• Mended Wings Supported Living Doing business as
• Mended Wings Therapeutic Solutions Doing business as
• Mended Wings Therapy & Wellness Doing business as
• Mended Wings Wellness Boutique Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keisha Lavon Dennis, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1992699383
  NPD Authorized official

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1104757681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR # 10737",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "703-633-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR # 10737",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "703-633-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED WINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-633-0002",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mended Wings Academy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mended Wings Supported Employment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mended Wings Supported Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mended Wings Therapeutic Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mended Wings Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mended Wings Wellness Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Veronica Natalia Rose Mendez, LMSW
• Mending Fences, LLC
• Amber Nicole Mendoza, LCSW

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.