| Modern Mental Health | |
|
151 South Main Street Suite B Fredericktown MO 63645 | |
| (573) 222-0096 | |
| (573) 240-8433 |
| Full Name | Modern Mental Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 151 South Main Street, Fredericktown, Missouri |
| Authorized Official Name and Position | Alyssa Jene' Brown (FOUNDER/COUNSELOR) |
| Authorized Official Contact | 5732220096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Mental Health 151 South Main Street Suite B Fredericktown MO 63645 Ph: (573) 222-0096 | Modern Mental Health 151 South Main Street Suite B Fredericktown MO 63645 Ph: (573) 222-0096 |
| NPI Number | 1215577945 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 01/10/2020 |
| Certification Date | 01/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215577945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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