MODERN THERAPY
NPI 1043917909
Community/Behavioral Health in Lawrenceville, GA

Active since February 10, 2023
1210 FOUNTAIN COVE LN, LAWRENCEVILLE, GA 30043(513) 449-0445(513) 672-9859 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About MODERN THERAPY

This page provides the complete NPI Profile along with additional information for Modern Therapy, a provider established in Lawrenceville, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1043917909 assigned on February 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Robyn J Kelly Msw,lisw (Owner)

NPI
1043917909 Verify this NPI
Provider Name
MODERN THERAPY
Entity Type
Organization
Location Address
1210 FOUNTAIN COVE LN LAWRENCEVILLE, GA 30043
Location Phone
(513) 449-0445
Location Fax
(513) 672-9859
Mailing Address
1210 FOUNTAIN COVE LN LAWRENCEVILLE, GA 30043
Mailing Phone
(513) 449-0445
Mailing Fax
(513) 672-9859
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2023
Last Update Date
02-10-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBYN J KELLY MSW,LISW

Authorized Official Title
OWNER
Authorized Official Phone
(513) 449-0445

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1225280142MEDICAID (05)OH 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043917909, enumerated as an "organization" on February 10, 2023.

The provider is located at 1210 FOUNTAIN COVE LN LAWRENCEVILLE, GA 30043 and the phone number is (513) 449-0445.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.