Provider Demographics
NPI:1558161646
Name:MENDING INDIGENOUS SPIRITS
Entity type:Organization
Organization Name:MENDING INDIGENOUS SPIRITS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VCCHAIR/COFOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-657-8550
Mailing Address - Street 1:1301 GUMVIEW RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-9423
Mailing Address - Country:US
Mailing Address - Phone:707-657-8550
Mailing Address - Fax:
Practice Address - Street 1:106 COYOTE VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:REDWOOD VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95470-9486
Practice Address - Country:US
Practice Address - Phone:707-657-8550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical PractitionerGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing PersonnelGroup - Multi-Specialty