Healthcare Provider Details

I. General information

NPI: 1295659498
Provider Name (Legal Business Name): MENDING BRIDGES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 VESTAVIA PKWY STE 2300
VESTAVIA AL
35216-3788
US

IV. Provider business mailing address

300 VESTAVIA PKWY STE 2300
VESTAVIA AL
35216-3788
US

V. Phone/Fax

Practice location:
  • Phone: 205-704-6513
  • Fax:
Mailing address:
  • Phone: 205-704-6513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHENITHA HINTON
Title or Position: OWNER
Credential: LPC
Phone: 205-704-6513