| Modern Wellness Family Counseling, Llc | |
|
945 E Main St Ste 5 Spartanburg SC 29302-2119 | |
| (864) 383-9002 | |
| (864) 383-9011 |
| Full Name | Modern Wellness Family Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 945 E Main St Ste 5, Spartanburg, South Carolina |
| Authorized Official Name and Position | Kelly Kennedy (OWNER) |
| Authorized Official Contact | 8646806152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Wellness Family Counseling, Llc 945 E Main St Ste 5 Spartanburg SC 29302-2119 Ph: (864) 383-9002 | Modern Wellness Family Counseling, Llc 945 E Main St Ste 5 Spartanburg SC 29302-2119 Ph: (864) 383-9002 |
| NPI Number | 1972146611 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972146611 | NPI | - | NPPES |
| GP9435 | Medicaid | SC | |
| LT1083 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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