Provider Demographics
NPI:1396634994
Name:MEND THERAPY, LLC
Entity type:Organization
Organization Name:MEND THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-MANAGER, LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:812-325-3666
Mailing Address - Street 1:137 MOUNT ROSE ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3419
Mailing Address - Country:US
Mailing Address - Phone:775-717-0844
Mailing Address - Fax:
Practice Address - Street 1:137 MOUNT ROSE ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3419
Practice Address - Country:US
Practice Address - Phone:775-717-0844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)