MODERN WELLNESS LLC NPI 1124692876

NPI Information

  • NPI: 1124692876
  • Provider Name: MODERN WELLNESS, LLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 2855 RED LANE RD
    POWHATAN, VA
    ZIP 23139
  • Phone: (804) 382-0811

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NPI Details

MODERN WELLNESS, LLC is a counselor in Powhatan, VA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MODERN WELLNESS, LLC NPI is 1124692876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2855 RED LANE RD
POWHATAN, VA
ZIP 23139-121
Phone: (804) 382-0811

The provider's authorized official is Brandi Long .
The authorized official title is Owner and has the following contact phone number (804) 382-0811.

The enumeration date for this NPI number is 5/18/2021 and was last updated on 5/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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