Organization Active NPI

Mendolia Marriage, Family, and Individual Psychotherapy PLLC

  • Adult Mental Health Clinic/Center
  • Mount Pleasant, SC
National Provider Identifier
1437991791
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MENDOLIA MARRIAGE, FAMILY, AND INDIVIDUAL PSYCHOTHERAPY PLLC
Practice address
1975 Parkfront Dr Apt 403
Mt Pleasant, SC 29464-7107
Phone
(917) 704-6108
NPI assigned
Jun 8, 2024
Last updated
Jun 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Authorized official

Name
Ms. Joani Teresa Mendolia, MFT-C
Title
Marriage and Family Therapist
Phone
(917) 704-6108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1975 Parkfront Dr Apt 403
Mt Pleasant, SC 29464-7107

Mailing address

1975 Parkfront Dr Apt 403
Mt Pleasant, SC 29464-7107
Phone (917) 704-6108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717804800000",
    "number": "1437991791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 PARKFRONT DR APT 403",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647107",
            "telephone_number": "917-704-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 PARKFRONT DR APT 403",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647107",
            "telephone_number": "917-704-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOLIA MARRIAGE, FAMILY, AND INDIVIDUAL PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A",
        "authorized_official_last_name": "MENDOLIA",
        "authorized_official_first_name": "JOANI",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "917-704-6108",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.