MODERN MYSTICS, LLC

FUQUAY VARINA, NC
NPI1942060215
Entity TypeOrganization
Authorized ContactSHANNON FAHY
Founder/CEO
919-839-9721
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
175F00000X Naturopath
175T00000X Peer Specialist
Enumeration Date2024-03-21
Last Update Date2024-03-21
Business Address
MODERN MYSTICS, LLC
637 BARNESWYCK DR
FUQUAY VARINA, NC 27526-2277
Phone number: 919-839-9721
Mailing Address
MODERN MYSTICS, LLC
637 BARNESWYCK DR
FUQUAY VARINA, NC 27526-2277
Phone number: