MENDED COUNSELING & TRAUMA SERVICES LLC NPI 1932863073

NPI Information

  • NPI: 1932863073
  • Provider Name: MENDED COUNSELING & TRAUMA SERVICES LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 824 EUCLID AVE STE A102
    LEXINGTON, KY
    ZIP 40502
  • Phone: (859) 338-0006

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NPI Details

MENDED COUNSELING & TRAUMA SERVICES LLC is a mental health counselor in Lexington, KY. MENDED COUNSELING & TRAUMA SERVICES LLC NPI is 1932863073. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

824 EUCLID AVE STE A102
LEXINGTON, KY
ZIP 40502-785
Phone: (859) 338-0006

The provider's authorized official is Jessie Dayton .
The authorized official title is Owner and has the following contact phone number (859) 429-0860.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100722810MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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