Organization Active NPI

Mending Wings Inc

  • Professional Counselor
  • Ocoee, FL
National Provider Identifier
1518101807
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MENDING WINGS INC
Doing business as
Mending Wings Inc
Practice address
1138 Vizcaya Lakes Rd
Apt 104
Ocoee, FL 34761-6957
Phone
(404) 441-2379
Fax
(407) 297-8779
NPI assigned
Apr 30, 2009
Last updated
Apr 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Ms. Latonya Tomika Sherman, MPA, CMHP
Title
Executive Director
Phone
(404) 441-2379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1138 Vizcaya Lakes Rd
Apt 104
Ocoee, FL 34761-6957

Mailing address

1138 Vizcaya Lakes Rd
Apt 104
Ocoee, FL 34761-6957
Phone (404) 441-2379

Other names 1

  • Mending Wings Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1518101807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 VIZCAYA LAKES RD",
            "address_2": "APT 104",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616957",
            "telephone_number": "404-441-2379",
            "fax_number": "407-297-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 VIZCAYA LAKES RD",
            "address_2": "APT 104",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616957",
            "telephone_number": "404-441-2379",
            "fax_number": "407-297-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING WINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_middle_name": "TOMIKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-441-2379",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA, CMHP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mending Wings Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.