Modern Mind & Wellness LLC

NPI #1942858303 in Rowlett, Texas

Provider Information

NPI Number: 1942858303
Entity Type: Organization
Organization Name: Modern Mind & Wellness LLC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 29, 2019
Last Updated: Aug 29, 2019

Practice Location

Address: 8301 LAKEVIEW PKWY STE 111-138
City: Rowlett
State: Texas
ZIP Code: 75088-9320
Phone: (817) 707-6024

Authorized Official

Name: FANTASIA HARRIS, APRN, FNP, PMHNP
Title: ADMINISTRATOR
Phone: (817) 707-6024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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