| Modern Wellness Pllc | |
|
1107f W Broad St Elizabethtown NC 28337-9483 | |
| (910) 862-4009 | |
| (910) 862-6004 |
| Full Name | Modern Wellness Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1107f W Broad St, Elizabethtown, North Carolina |
| Authorized Official Name and Position | Kristi Starr Baldwin Rooks (OWNER) |
| Authorized Official Contact | 9109140011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Wellness Pllc Po Box 2482 Elizabethtown NC 28337-2482 Ph: (910) 862-4009 | Modern Wellness Pllc 1107f W Broad St Elizabethtown NC 28337-9483 Ph: (910) 862-4009 |
| NPI Number | 1144496365 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144496365 | NPI | - | NPPES |
| APPLYING FOR | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3512 (North Carolina) | Primary |
Carter Clinic, P A Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 W Broad St, Elizabethtown, NC 28337 Phone: 919-848-0132 | |
Omni Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Martin Luther King Jr. Dr., Elizabethtown, NC 28337 Phone: 910-247-6822 Fax: 910-247-6829 | |
Koship Industries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Twisted Hickory Rd, Elizabethtown, NC 28337 Phone: 843-998-1223 | |
Direccare Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 West Broad St., Elizabethtown, NC 28337 Phone: 910-872-0013 Fax: 910-872-0019 | |
Primary Health Choice, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2950 W Broad St, Elizabethtown, NC 28337 Phone: 910-862-3040 | |
Community Innovations, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Peanut Plant Rd, Elizabethtown, NC 28337 Phone: 910-862-8363 Fax: 910-862-8767 |