MENDING HEARTS, LLC (NPI# 1144770264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144770264 |
| Entity Type | Organization |
| Organization Name | MENDING HEARTS, LLC |
| Practice Address |
381 Center St Ste A Manchester CT 06040-3924 |
| Mailing Address |
46 Summer St Manchester CT 06040-4944 |
| Practice Telephone | 8609529142 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | MARY ANN SANTIAGO (FOUNDER/LICENSED FAMILY THERAPIST) |
| Authorized Official Telephone | 8608170738 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1844 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775689 | Mending Hearts, LLC | In Home Supportive Care | 201 1st St Sw, Alabaster, AL 35007-8527 | 2018-10-09 |
| 1487100392 | Mending Hearts, LLC | Social Worker | 3939 San Pedro Dr Ne, Building C, Suite C, Albuquerque, NM 87110-8900 | 2016-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MENDING HEARTS, LLC | 117 Center St, Manchester, CT 06040 |
| Street Address |
381 CENTER ST STE A |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300539 | Mandy Tiedeman | Marriage & Family Therapist | 21 Middle Tpke E, Manchester, CT 06040-4249 | 2020-09-10 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1548627243 | Mary Ann Francis | Marriage & Family Therapist | 381 Center St Ste A, Manchester, CT 06040-3924 | 2016-01-26 |
| 1437597069 | Jessica Arnold | Marriage & Family Therapist | 75 Lenox St, Manchester, CT 06040-4321 | 2013-06-05 |
| 1013263607 | Katherine Burdick | Marriage & Family Therapist | 642 Hilliard St Ste 1302, Manchester, CT 06042-2705 | 2012-08-01 |
| 1992095046 | Candice Woods Alizio | Marriage & Family Therapist | 1750 Elm St Ste 102, Manchester, NH 03104-2919 | 2011-04-11 |
| 1073802211 | Joanna Karp | Marriage & Family Therapist | 114 Waranoke Rd, Manchester, CT 06040-4559 | 2011-03-28 |
| 1457687626 | Jennifer Morel Anderson | Marriage & Family Therapist | 17 Carman Rd, Manchester, CT 06042-1717 | 2009-10-23 |
| 1235363607 | Elizabeth Amy Palazzolo | Marriage & Family Therapist | 69 Bay St, Manchester, NH 03104-3005 | 2009-05-13 |
| 1740475987 | Mary Kilkenny Williams | Marriage & Family Therapist | 40400 Mt View Rd, Manchester, CA 95459 | 2007-09-11 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.