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
—
—
163WM1400X
Nurse Massage Therapist (NMT)
—
—
171000000X
Military Health Care Provider
—
—
171400000X
Health & Wellness Coach
Primary
—
—
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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