Mending Fences Behavioral Health Services, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MENDING FENCES BEHAVIORAL HEALTH SERVICES, LLC

Doing business as

Haven Detox Morriston, LLC

Practice address

15530 W Highway 326
Morriston, FL 32668-7311

Phone

(561) 461-3791

NPI assigned

Nov 20, 2025

Last updated

Nov 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirill Vesselov

Title

President

Phone

(561) 461-3791

Specialties & licenses 1

Addresses

Other names 1

• Haven Detox Morriston, LLC Doing business as

Tax ID family

Haven Detox Morriston LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mending Fences Behavioral Health Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Morriston, FL
  • NPI 1710860200
  NPD tax ID

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1487515276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 W HIGHWAY 326",
            "city": "MORRISTON",
            "state": "FL",
            "postal_code": "326687311",
            "telephone_number": "561-461-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING FENCES BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "VESSELOV",
        "authorized_official_first_name": "KIRILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-461-3791"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Detox Morriston, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Jaworski, LCSW
• Mandy Laroy
• Medihill Inc.
• Mending Fences (Mending Fences LLC)
• Mending Fences (Mending Fences, LLC)
• Mending Fences Behavioral Health Services, LLC
• On the Other Side of the Fence, Inc.
• Mario J Pinder
• Thomas Choice Healthcare Providers Inc
• Transformations Mending Fences, LLC

• Substance Abuse Rehabilitation Facility in Morriston, FL
• Providers in Morriston, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.