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MODERN MIND THERAPY & LIFE COACHING LLC
NPI 1003493610
Counselor - Professional in Arlington, VA

Active since March 28, 2021
4601 FAIRFAX DR STE 1200, ARLINGTON, VA 22203(757) 303-7808 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2021, Mar 28, 2021 (2 updates tracked since 2021).

About Modern Mind Therapy & Life Coaching Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN MIND THERAPY & LIFE COACHING LLC (NPI 1003493610) is a healthcare organization registered as a professional in Arlington, Virginia and active in the NPI registry since March 2021. The organization lists Lakeisha Grayer, Owner, as its authorized official.

NPPES Registry Identity

NPI1003493610
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMODERN MIND THERAPY & LIFE COACHING LLC
Location Address4601 FAIRFAX DR STE 1200Arlington, VA 22203-1559
Mailing Address13645 Legacy Cir Apt AHerndon, VA 20171-5265 · (175) 730-3780
Phone(757) 303-7808
Organization SubpartNo
Authorized OfficialLakeisha GrayerOwner · (757) 303-7808
Enumeration DateMarch 28, 2021
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1003493610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4601 FAIRFAX DR STE 1200, Arlington, VA 22203
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Other Names 1

Former Legal Business NameModern Mind Therapy & Life Coaching Llc

Other Identifiers 1

Other1467077651VA · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDID VIRGINIA, PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
4601 FAIRFAX DR STE 1200
ARLINGTON, VA 22203
Arlington County (860) 481-7631
BEST CARE VA
Registered Nurse (Home Health)
4601 FAIRFAX DR STE 1200
ARLINGTON, VA 22203
Arlington County (301) 996-9827
UNIFY BEHAVIORAL HEALTH LLC
Counselor (Mental Health)
4601 FAIRFAX DR STE 1200
ARLINGTON, VA 22203
Arlington County (857) 244-1868
GINA ROTHBAUM COUNSELING RESIDENT
Counselor
4601 FAIRFAX DR STE 1200
ARLINGTON, VA 22203
Arlington County (703) 755-0848
DR. JESSICA C JONES PSY D.
Psychologist (Clinical)
4601 FAIRFAX DR STE 1200
ARLINGTON, VA 22203
Arlington County (703) 679-8955

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Mind Therapy & Life Coaching LLC's NPI number?

The NPI number for Modern Mind Therapy & Life Coaching LLC is 1003493610. It was assigned to this organization in the NPPES registry on March 28, 2021.

Where is Modern Mind Therapy & Life Coaching LLC located?

Modern Mind Therapy & Life Coaching LLC is located at 4601 Fairfax Dr Ste 1200, Arlington, VA 22203. The listed phone number is (757) 303-7808.

What is Modern Mind Therapy & Life Coaching LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Modern Mind Therapy & Life Coaching LLC was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.