| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 2860936044 |
|---|---|
| Medicare Enrollment ID | O20240628000879 |
| 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 |
| Provider Name | Kelly Newell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306598594 PECOS PAC ID: 2264975325 Enrollment ID: I20240617003125 |
| Provider Name | Yvonne Fernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619548708 PECOS PAC ID: 5092259275 Enrollment ID: I20240628000726 |
| Provider Name | Morgan Strickland |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992346787 PECOS PAC ID: 9234673187 Enrollment ID: I20240702002316 |
| Provider Name | Kelly Kennedy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376857599 PECOS PAC ID: 8820532856 Enrollment ID: I20240702002684 |
| Provider Name | Amanda Cheek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992212245 PECOS PAC ID: 3476097395 Enrollment ID: I20240703000270 |
| Provider Name | Stefanie Scott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790451342 PECOS PAC ID: 3577008101 Enrollment ID: I20240708003363 |
| Provider Name | Meghan Berlin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952037921 PECOS PAC ID: 2062957699 Enrollment ID: I20240708003553 |
| Provider Name | Brittany Crosby |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205429164 PECOS PAC ID: 5395280937 Enrollment ID: I20240708003706 |
| Provider Name | Ashley Hart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275126005 PECOS PAC ID: 1557808060 Enrollment ID: I20240801003268 |
| Provider Name | Trilby Banks |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235784042 PECOS PAC ID: 7012454465 Enrollment ID: I20240802000444 |
| Provider Name | Joni Ware |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619609302 PECOS PAC ID: 8820535289 Enrollment ID: I20240802000902 |
| Provider Name | Carly Powers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255080859 PECOS PAC ID: 3971040924 Enrollment ID: I20240807004764 |
| Provider Name | Sehlby Albright |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841701380 PECOS PAC ID: 0042758914 Enrollment ID: I20240812000383 |
| Provider Name | Vanessa Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316335607 PECOS PAC ID: 0749720043 Enrollment ID: I20240913000769 |
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