Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FAIRY THERAPETUIC PLLC
Active
Organization
FAIRY THERAPETUIC PLLC
Active
Parent organization
MYSTIC FLOW WELLNESS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYSTIC FLOW WELLNESS CENTER
Authorized official
KASSI MOORE (RELAXATIONAL THERAIPST)
(540) 571-1880
Entity
Organization
Contact information
Practice address
6884 PIEDMONT CENTER PLZ, GAINESVILLE, VA 20155-4035
(571) 284-7612
Mailing address
PO BOX 31, BEALETON, VA 22712-0031
(540) 571-1880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
163WM1400X
Nurse Massage Therapist (NMT)
—
NULL
163WM1400X
Nurse Massage Therapist (NMT)
—
—
171000000X
Military Health Care Provider
—
NULL
171000000X
Military Health Care Provider
—
—
171400000X
Health & Wellness Coach
Primary
—
NULL
171400000X
Health & Wellness Coach
Primary
—
—
173C00000X
Reflexologist
—
NULL
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers