Organization
MENDING SOULS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEONA HAILEY (FOUNDER)
(347) 792-5231
Entity
Organization
Contact information
Practice address
6519 BUENE AIRE DR, CHARLOTTE, NC 28227-8081
(347) 792-5231
Mailing address
6519 BUENE AIRE DR, CHARLOTTE, NC 28227-8081
(347) 792-5231
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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