| Modern Connections Therapy, Llc | |
|
222 S Frances St South Bend IN 46617-3004 | |
| (708) 405-9181 | |
| Not Available |
| Full Name | Modern Connections Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 222 S Frances St, South Bend, Indiana |
| Authorized Official Name and Position | Shawn Marie Flynn (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7084059181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Connections Therapy, Llc 222 S Frances St South Bend IN 46617-3004 Ph: (708) 405-9181 | Modern Connections Therapy, Llc 222 S Frances St South Bend IN 46617-3004 Ph: (708) 405-9181 |
| NPI Number | 1205326691 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205326691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 149019589 (Illinois) | Primary |
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