| Modern Mind & Wellness LLC | |
|
8301 Lakeview Pkwy Ste 111-138 Rowlett TX 75088-9320 | |
| (817) 707-6024 | |
| Not Available |
| Full Name | Modern Mind & Wellness LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 8301 Lakeview Pkwy Ste 111-138, Rowlett, Texas |
| Authorized Official Name and Position | Fantasia Harris (ADMINISTRATOR) |
| Authorized Official Contact | 8177076024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Mind & Wellness LLC 8301 Lakeview Pkwy Ste 111-138 Rowlett TX 75088-9320 | Modern Mind & Wellness LLC 8301 Lakeview Pkwy Ste 111-138 Rowlett TX 75088-9320 Ph: (817) 707-6024 |
| NPI Number | 1942858303 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 08/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942858303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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