Modern Mental Health Llc

LBN: Modern Mental Health Llc
Modern Mental Health Llc is an health care organization with primary practice located at 3000 Gulf To Bay Blvd Ste 312 , Clearwater FL 33759-4304. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Group Psychotherapy is the primary health care specialty. Modern Mental Health Llc can be contacted via phone (727) 279-0101, or through Matthews, Jaclyn via phone (848) 299-9329.

Contact Information

Primary practice address
3000 Gulf To Bay Blvd Ste 312 Clearwater FL 33759-4304
Phone: (727) 279-0101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matthews, Jaclyn LMHC
Phone: (848) 299-9329

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1487271763
LBN Legal business name Modern Mental Health Llc
DBA Doing business as
Authorized official Matthews, Jaclyn LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2020
Last updated Jul 2nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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