| Modern Mind Therapy & Life Coaching Llc | |
|
4601 Fairfax Dr Ste 1200 Arlington VA 22203-1559 | |
| (757) 303-7808 | |
| Not Available |
| Full Name | Modern Mind Therapy & Life Coaching Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4601 Fairfax Dr Ste 1200, Arlington, Virginia |
| Authorized Official Name and Position | Lakeisha Grayer (OWNER) |
| Authorized Official Contact | 7573037808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Mind Therapy & Life Coaching Llc 13645 Legacy Cir Apt A Herndon VA 20171-5265 Ph: (175) 730-3780 | Modern Mind Therapy & Life Coaching Llc 4601 Fairfax Dr Ste 1200 Arlington VA 22203-1559 Ph: (757) 303-7808 |
| NPI Number | 1003493610 |
|---|---|
| Provider Enumeration Date | 03/28/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003493610 | NPI | - | NPPES |
| 1467077651 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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