Mending Peaces LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENDING PEACES LLC

Practice address

9029 J M Keynes Dr Unit 64
Charlotte, NC 28262-8408

Phone

(704) 699-3347

NPI assigned

Apr 20, 2024

Last updated

Apr 20, 2024By 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

Shameka Knotts

Title

Manager

Phone

(704) 699-3347

Specialties & licenses 2

Addresses

Other names 1

• Mending Peaces LLC Former legal business name

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1700631066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 J M KEYNES DR UNIT 64",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 J M KEYNES DR UNIT 64",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628408",
            "telephone_number": "704-699-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING PEACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "KNOTTS",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-699-3347"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mending Peaces LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mended Counseling & Consultation
• David R Mendelsohn, MD
• Margaret Mendenhall Shirley, LCSW
• Ashlyn Raquel Mendez, BCBA
• Evelyn Mendez
• Mending Souls LLC
• Stephen V Mendoza, MD
• Jerome Menendez, NP
• Katherine Sydney Menezes, M.D.
• Marlena E Mengelkamp

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

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