Modern Wellness LLC

NPI #1831951300 in Muskego, Wisconsin

Provider Information

NPI Number: 1831951300
Entity Type: Organization
Organization Name: Modern Wellness LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 29, 2024
Last Updated: Jan 28, 2026

Practice Location

Address: W180S8264 PIONEER DR
City: Muskego
State: Wisconsin
ZIP Code: 53150-9457
Phone: (262) 221-0369

Authorized Official

Name: JESSICA SHAW, LPC
Title: LPC
Phone: (262) 221-0369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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