| Modern Mystics, Llc | |
|
637 Barneswyck Dr Fuquay Varina NC 27526-2277 | |
| (919) 839-9721 | |
| Not Available |
| Full Name | Modern Mystics, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 637 Barneswyck Dr, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Shannon Fahy (FOUNDER/CEO) |
| Authorized Official Contact | 9198399721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Mystics, Llc 637 Barneswyck Dr Fuquay Varina NC 27526-2277 Ph: () - | Modern Mystics, Llc 637 Barneswyck Dr Fuquay Varina NC 27526-2277 Ph: (919) 839-9721 |
| NPI Number | 1942060215 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942060215 | NPI | - | NPPES |
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