Modern Wellness Pllc

LBN: Modern Wellness Pllc
Modern Wellness Pllc is an health care organization with primary practice located at 1107F W Broad St , Elizabethtown NC 28337-9483. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Modern Wellness Pllc can be contacted via phone (910) 862-4009, or through Rooks, Kristi Starr Baldwin via phone (910) 914-0011.

Contact Information

Primary practice address
1107F W Broad St Elizabethtown NC 28337-9483
Phone: (910) 862-4009
Fax: (910) 862-6004
Website:
Map and Directions
Authorized official contact:
Name: Rooks, Kristi Starr Baldwin MA, LPC
Phone: (910) 914-0011

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3512 North Carolina

Profile Details

NPI number 1144496365
LBN Legal business name Modern Wellness Pllc
DBA Doing business as
Authorized official Rooks, Kristi Starr Baldwin MA, LPC
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144496365 NPPES
North Carolina MEDICAID APPLYING FOR

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