| Modern Wellness, Llc | |
|
2855 Red Lane Rd Powhatan VA 23139-5121 | |
| (804) 382-0811 | |
| Not Available |
| Full Name | Modern Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2855 Red Lane Rd, Powhatan, Virginia |
| Authorized Official Name and Position | Brandi Long (OWNER) |
| Authorized Official Contact | 8043820811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Wellness, Llc 2855 Red Lane Rd Powhatan VA 23139-5121 Ph: (804) 382-0811 | Modern Wellness, Llc 2855 Red Lane Rd Powhatan VA 23139-5121 Ph: (804) 382-0811 |
| NPI Number | 1124692876 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124692876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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