Provider Demographics
NPI:1740031459
Name:MENDING MATTERS
Entity type:Organization
Organization Name:MENDING MATTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIAESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMMEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-940-5165
Mailing Address - Street 1:11835 CARMEL MOUNTAIN RD # 1304-342
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4609
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4379 30TH ST STE 4
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-1323
Practice Address - Country:US
Practice Address - Phone:619-940-5165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health