MODERN WELLNESS FAMILY COUNSELING


Address: 811 E Main St Ste B, Spartanburg, SC 29302-2004
Phone: 8645835969

MODERN WELLNESS FAMILY COUNSELING (NPI# 1972146611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972146611
Entity Type Organization
Organization Name MODERN WELLNESS FAMILY COUNSELING
Practice Address 811 E Main St Ste B
Spartanburg
SC 29302-2004
Practice Telephone 8645835969
Enumeration Date 2019-10-25
Last Update Date 2019-10-25
Authorized Official Name KELLY KENNEDY (OWNER)
Authorized Official Telephone 8646806152
Authorized Official Credential PHD, LMFT/S, RPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC LT1083 05

Office Location

Street Address 811 E MAIN ST STE B
City SPARTANBURG
State SC
Zip Code 29302-2004

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083226476 Healthstat Inc Grace Management Preventive Medicine 951 South Pin Street, Suite 200, Spartanburg, SC 29302 2020-08-18
1467978304 Katherine Tomes Speech-Language Pathologist 355 Cedar Springs Road, Spartanburg, SC 29302 2017-08-22
1396291167 Brent Timothy Smith Specialist 151 Ribault Street Suite 200, Spartanburg, SC 29302 2016-08-31
1376995159 Natalie Nicole Kellett Nurse Practitioner 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 2016-07-06
1902273808 Tamieka Latrell Alston-gibson Nurse Practitioner 101 North Pine Street, Suite 210, Spartanburg, SC 29302 2015-08-26
1700209905 Robert W Wyatt Pharmacist 203 Cedar Springs Rd, Spartanburg, SC 29302 2014-01-24
1952735748 James Sidney Fulmer Sr. Obstetrics & Gynecology 167 Ivy Court, Spartanburg, SC 29302 2013-08-28
1053651828 Jennifer Geddes Hall Counselor 101 N Pine St Ste 210, Spartanburg, SC 29302 2013-02-15
1487875514 Park Place Spartanburg Assisted Living Facility 2720 Country Clud Road, Spartanburg, SC 29302 2007-05-02
1740304401 Leon Derek Herring Dentist 270 Cedar Spring Rd, Spartanburg, SC 29302 2007-03-19
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821556648 Sara Katherine Wade Marriage & Family Therapist 175 Magnolia St Ste 102, Spartanburg, SC 29306-2324 2019-03-11
1831672823 Vicki J Cathcart Marriage & Family Therapist 364 S Pine St Ste B240, Spartanburg, SC 29302-2620 2018-09-14
1841701380 Shelby Albright Marriage & Family Therapist 324 E Saint John St # D2, Spartanburg, SC 29302-1505 2017-10-23
1861948192 Alicia Douglas Hart Marriage & Family Therapist 101 N Pine St Ste 315d, Spartanburg, SC 29302-1604 2016-08-28
1538612528 Henry Anderson Marriage & Family Therapist 1683 Union St, Spartanburg, SC 29302-4134 2016-07-26
1285090076 Intrinsic Therapy LLC Marriage & Family Therapist 269 S Church St Ste 310, Spartanburg, SC 29306-3484 2016-01-08
1780051250 Sara Sipe Marriage & Family Therapist 200 Fernwood Dr, West Gate Fti, Spartanburg, SC 29307-2237 2015-08-31
1578956413 Healing Solutions, LLC Marriage & Family Therapist 481 S Pine St, Spartanburg, SC 29302-2751 2015-03-17
1346665999 Janet Barnes Mcconnell Marriage & Family Therapist 233 N Church St, Spartanburg, SC 29306-5103 2014-02-19
1710032750 James Caldwell Marriage & Family Therapist 1090 Boiling Springs Rd, Spartanburg, SC 29303-2247 2007-01-23
Find all providers in SPARTANBURG

Competitor

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City SPARTANBURG
Zip Code 29302

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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