Organization
MODERN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI LONG LPC (OWNER)
(804) 382-0811
Entity
Organization
Contact information
Practice address
2855 RED LANE RD, POWHATAN, VA 23139-5121
(804) 382-0811
Mailing address
2855 RED LANE RD, POWHATAN, VA 23139-5121
(804) 382-0811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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