Modern Therapy

LBN: Modern Therapy
Modern Therapy is an health care organization with primary practice located at 1210 Fountain Cove Ln , Lawrenceville GA 30043-3974. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Modern Therapy can be contacted via phone (513) 449-0445, or through Kelly, Robyn J via phone (513) 449-0445.

Contact Information

Primary practice address
1210 Fountain Cove Ln Lawrenceville GA 30043-3974
Phone: (513) 449-0445
Fax: (513) 672-9859
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Robyn J MSW,LISW
Phone: (513) 449-0445

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1043917909
LBN Legal business name Modern Therapy
DBA Doing business as
Authorized official Kelly, Robyn J MSW,LISW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2023
Last updated Feb 10th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043917909 NPPES
Ohio MEDICAID 1225280142

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