# MODERNMINDS WELLNESS CARE PLLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1922963388
- **Authorized official:** KYTISHA SIMS PMHNP-BC (MANAGING MEMBER)
- **Authorized official phone:** (215) 250-5513

## Contact information

- **Practice address:** 1500 CHESTNUT STREET STE 2, \#1184, PHILADELPHIA, PA 19102-2700
- **Practice address phone:** (215) 250-5512
- **Mailing address:** 1500 CHESTNUT STREET STE 2, \#1184, PHILADELPHIA, PA 19102-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2025
- **Last updated:** 01/12/2026