Modern Therapy
NPI #1043917909 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1043917909
- Entity Type
- Organization
- Organization Name
- Modern Therapy
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 10, 2023
- Last Updated
- Feb 10, 2023
Practice Location
- Address
- 1210 FOUNTAIN COVE LN
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30043-3974
- Phone
- (513) 449-0445
Authorized Official
- Name
- ROBYN J KELLY, MSW,LISW
- Title
- OWNER
- Phone
- (513) 449-0445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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