| Mending Minds Therapy Llc | |
|
1602 Broad St Phenix City AL 36867-5081 | |
| (334) 540-3808 | |
| Not Available |
| Full Name | Mending Minds Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1602 Broad St, Phenix City, Alabama |
| Authorized Official Name and Position | Angela R Donner (OWNER) |
| Authorized Official Contact | 3345403808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Minds Therapy Llc 1602 Broad St Phenix City AL 36867-5081 Ph: (334) 540-3808 | Mending Minds Therapy Llc 1602 Broad St Phenix City AL 36867-5081 Ph: (334) 540-3808 |
| NPI Number | 1508554346 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508554346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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