Modern Psych And Wellness Pllc

LBN: Modern Psych And Wellness Pllc
Modern Psych And Wellness Pllc is an health care organization with primary practice located at 21415 Goddard Rd , Taylor MI 48180-4247. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Internal Medicine. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Modern Psych And Wellness Pllc can be contacted via phone (313) 737-0023, or through Succurro, Rana via phone (248) 593-9780.

Contact Information

Primary practice address
21415 Goddard Rd Taylor MI 48180-4247
Phone: (313) 737-0023
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Succurro, Rana Doctor of Medicine (MD)
Phone: (248) 593-9780

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1104674621
LBN Legal business name Modern Psych And Wellness Pllc
DBA Doing business as
Authorized official Succurro, Rana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2024
Last updated May 17th, 2024 - about 4 months 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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