Modern Wellness Family Counseling, Llc
LBN: Modern Wellness Family Counseling, Llc
Modern Wellness Family Counseling, Llc is an health care organization with primary practice located at 945 E Main St Ste 5 , Spartanburg SC 29302-2119. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty.
Modern Wellness Family Counseling, Llc can be contacted via phone (864) 383-9002, or through Kennedy, Kelly via phone (864) 680-6152.
Contact Information
Primary practice address
945 E Main St Ste 5
Spartanburg SC 29302-2119
Phone: (864) 383-9002
Fax: (864) 383-9011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1972146611 |
|---|---|
| LBN Legal business name | Modern Wellness Family Counseling, Llc |
| DBA Doing business as | |
| Authorized official | Kennedy, Kelly PHD, LMFT/S, RPT/S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2019 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972146611 | NPPES |
| South Carolina | MEDICAID | GP9435 | |
| South Carolina | MEDICAID | LT1083 |
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