Mending Fences Therapeutic Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6374 Issued in SC

Legal business name

MENDING FENCES THERAPEUTIC SERVICES

Practice address

358 Nina Lee Dr
Columbia, SC 29203-1812

Phone

(803) 351-8221

NPI assigned

Aug 20, 2016

Last updated

Aug 20, 2016By 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

Alysee Christine Jones, LPC

Title

Managing Partner

Phone

(803) 351-8221

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1992250815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 NINA LEE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031812",
            "telephone_number": "803-351-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 NINA LEE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031812",
            "telephone_number": "803-351-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING FENCES THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALYSEE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "803-351-8221",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lissy Kochuplackal Menachery, MD
• Ranel M Mencarelli, LPC
• Tocoia Mendenhall
• Ryan Derrick Mendez
• Micaela Angela Mendietta
• Kira L. Mendoza Gil
• Hollie Weeks Mendricks, APRN
• Fanwei Meng, MD
• Mental Health America South Carolina
• Mental Health of America

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.