Organization
MENDING TRAUMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY AIROSO (OFFICER)
(479) 276-3021
Entity
Organization
Contact information
Practice address
801 N LINCOLN AVE, MONETT, MO 65708-1641
(479) 276-3021
Mailing address
418 EUCLID AVE, MONETT, MO 65708-1926
(479) 276-3021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
12/08/2025
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