Provider Demographics
NPI:1326875477
Name:MENDING FAMILIES
Entity type:Organization
Organization Name:MENDING FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEMBERTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:509-879-8252
Mailing Address - Street 1:706 SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99004-2389
Mailing Address - Country:US
Mailing Address - Phone:509-879-8252
Mailing Address - Fax:
Practice Address - Street 1:706 SUNRISE DR
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-2389
Practice Address - Country:US
Practice Address - Phone:509-879-8252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty