Mending Minds Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENDING MINDS THERAPY LLC

Practice address

1602 Broad St
Phenix City, AL 36867-5081

Phone

(334) 540-3808

NPI assigned

Apr 28, 2023

Last updated

Apr 28, 2023By 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

Angela R DonnerNPI 1093343949

Title

Owner

Phone

(334) 540-3808

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Donner, LPN

  • Community/Behavioral Health Agency
  • Phenix City, AL
  • NPI 1093343949
  Authorized official Same address or phone

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1508554346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 BROAD ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675081",
            "telephone_number": "334-540-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 BROAD ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675081",
            "telephone_number": "334-540-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "DONNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-540-3808"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marouene Melki, PHARMD
• Raynn L Miller, RBT
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• Maxon Paul Moncrief
• Tammy Wynett Montgomery, MENTAL HEALTH

• Community/Behavioral Health Agency in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.