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Organization

MODERNMINDS WELLNESS CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYTISHA SIMS PMHNP-BC (MANAGING MEMBER)
(215) 250-5513
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
12/18/2025
Last updated
01/12/2026
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