institution
Modern Wellness Pllc
Professional Counselor in Elizabethtown, North Carolina
NPI 1144496365

Modern Wellness Pllc is a Professional Counselor based in Elizabethtown, NC and is specialized in Professional. Modern Wellness Pllc practices in Elizabethtown, NC. The NPI Number for Modern Wellness Pllc is 1144496365 and holds a License No. 3512 (North Carolina).

The current practice location address for Modern Wellness Pllc is 1107F W Broad St, Elizabethtown, NC and can be reached out via phone at 910-862-4009 and via fax at 910-862-6004.

Location: 1107F W Broad St, Elizabethtown, NC, 28337-2482
institution
Provider Profile Details
NPI Number
1144496365
Provider Name
Modern Wellness Pllc
Credential
Provider Entity Type
Organization
Address
1107F W Broad St, Elizabethtown, NC, 28337-2482
Phone Number
910-862-4009
Fax Number
910-862-6004
Provider Enumeration Date
05/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APPLYING FOR 05 NC
institution
Provider Business Practice Location Address Details
Address
1107F W Broad St
City
State
Zip
28337-9483
Phone Number
910-862-4009
Fax Number
910-862-6004
person
Provider Business Mailing Address Details
Address
1107F W Broad St
City
State
Zip
28337-9483
Phone Number
910-862-4009
Fax Number
910-862-6004
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3512 (North Carolina)
Definition
Definition to come...
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