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MARK MODLIN INC. NPI 1881003705


NPI Information

NPI: 1881003705
Provider Name: MARK MODLIN, INC.
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
130 DUDLEY PIKE
SUITE 120
EDGEWOOD, KY
ZIP 41017
Phone: (859) 341-7170
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MARK MODLIN, INC. is a counselor in Edgewood, KY. 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. MARK MODLIN, INC. NPI is 1881003705. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

130 DUDLEY PIKE
SUITE 120
EDGEWOOD, KY
ZIP 41017-396
Phone: (859) 341-7170
Fax: (859) 341-7173

The provider's authorized official is Mark Alan Modlin .
The authorized official title is Owner and has the following contact phone number (859) 341-7170.

The enumeration date for this NPI number is 8/5/2014 and was last updated on 8/5/2014.


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
1101Y00000XCounselorC.0001640OHIONo
2101YA0400XCounselorAddiction (Substance Use Disorder)KY-0206KENTUCKYNo
3101YA0400XCounselorAddiction (Substance Use Disorder)C.0001640OHIONo
4101YM0800XCounselorMental HealthKY-0206KENTUCKYNo
5101YM0800XCounselorMental HealthC.0001640OHIONo
6101Y00000XCounselorKY-0206KENTUCKYYes

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: 5/5/2024

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