# MENDING MINDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609521533
- **Authorized official:** JONATHAN RUMLEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (336) 602-8266

## Contact information

- **Practice address:** 2333 ALEXANDRIA DR, LEXINGTON, KY 40504-3215
- **Practice address phone:** (336) 602-8266
- **Mailing address:** 228 BARONS RD, CLEMMONS, NC 27012-7203
- **Mailing address phone:** (336) 602-8266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2022
- **Last updated:** 02/18/2022