Modern Mind Wellness

LBN: Modern Mind Wellness
Modern Mind Wellness is an health care organization with primary practice located at 25691 S. Fairburn Rd , Fairburn SD 57738. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Modern Mind Wellness can be contacted via phone (507) 218-8394, or through Frybarger, Trevor D via phone (507) 218-8394.

Contact Information

Primary practice address
25691 S. Fairburn Rd Fairburn SD 57738
Phone: (507) 218-8394
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frybarger, Trevor D LICSW
Phone: (507) 218-8394

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1972372746
LBN Legal business name Modern Mind Wellness
DBA Doing business as
Authorized official Frybarger, Trevor D LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2023
Last updated Jan 22nd, 2024 - about last year

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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