MEDICARE: MENDING WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1508556325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENDING WELLNESS, LLC

Provider Business Mailing Address
First Line	:	1532 CRESCENT POINTE LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23453-2053
Country	:	US
Telephone Number	:	757-589-5212
Fax Number	:

Provider Business Practice Location Address
First Line	:	1532 CRESCENT POINTE LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23453-2053
Country	:	US
Telephone Number	:	757-589-5212
Fax Number	:

Authorized Official
Title or Position	:	CEO/FOUNDER
Name	:	SHERRAL HARDING
Credential	:	LPC
Telephone Number	:	757-589-5212

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	05/15/2023

Similar Medicare Providers

1700490240 — SHERRAL HARDING LPC
Practice Location Address:

1532 CRESCENT POINTE LN
VIRGINIA BEACH, VA
23453-2053

Practice Phone: 948-888-2344
Practice Fax:

1184301053 — IRIS MOSAH
Practice Location Address:

1300 VIRGINIA AVE APT 214
MCKEESPORT, PA
15135-2053

Practice Phone: 901-463-9044
Practice Fax:

1033645163 — MR. ANDREW ROBERT MICHAELS
Practice Location Address:

2320 MARGARITA DR UNIT 8201
MYRTLE BEACH, SC
29577-2053

Practice Phone: 516-637-9204
Practice Fax:

1023089380 — JILL M. PANITCH M.D.
Practice Location Address:

18561 BEACH BLVD
HUNTINGTON BEACH, CA
92648-2053

Practice Phone: 714-848-0080
Practice Fax: 714-848-1909

1255484895 — DR. CHARLES HOWARD LEVY O.D.
Practice Location Address:

8106 LONG BEACH BLVD
SOUTH GATE, CA
90280-2053

Practice Phone: 323-585-5411
Practice Fax: 323-585-6515

1699090522 — HANA KIM D.O.
Practice Location Address:

18561 BEACH BLVD
HUNTINGTON BEACH, CA
92648-2053

Practice Phone: 714-848-0080
Practice Fax:

Directions to “MENDING WELLNESS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.