# MODERN THERAPIES FOR MIND AND SOUL, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265537989
- **Authorized official:** MRS. HALA SALEEM M.D. (PRESIDENT)
- **Authorized official phone:** (209) 835-4043

## Contact information

- **Practice address:** 552 W EATON AVE, TRACY, CA 95376-3422
- **Practice address phone:** (209) 835-4043
- **Practice address fax:** (209) 835-4236
- **Mailing address:** 552 W EATON AVE, TRACY, CA 95376-3422
- **Mailing address phone:** (209) 835-4043
- **Mailing address fax:** (209) 835-4236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | A677200 | CA | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 01/16/2019