Modern Psych and Wellness Pllc

NPI #1104674621 in Taylor, Michigan

Provider Information

NPI Number: 1104674621
Entity Type: Organization
Organization Name: Modern Psych and Wellness Pllc
Primary Specialty: Psychologist
Enumeration Date: May 9, 2024
Last Updated: Mar 18, 2025

Practice Location

Address: 21415 GODDARD RD
City: Taylor
State: Michigan
ZIP Code: 48180-4247
Phone: (313) 737-0023

Authorized Official

Name: RANA SUCCURRO, MD
Title: OWNER
Phone: (248) 667-8014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Internal Medicine	207R00000X
Psychologist	103T00000X	Primary

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