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MODERN WELLNESS PLLC
NPI 1144496365
Counselor - Professional in Elizabethtown, NC

Active since May 07, 2008
1107F W BROAD ST, ELIZABETHTOWN, NC 28337(910) 862-4009(910) 862-6004 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Wellness Pllc NPPES

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

MODERN WELLNESS PLLC (NPI 1144496365) is a healthcare organization registered as a professional in Elizabethtown, North Carolina and active in the NPI registry since May 2008. The organization lists Kristi Starr Baldwin Rooks, Owner, as its authorized official.

NPPES Registry Identity

NPI1144496365
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMODERN WELLNESS PLLC
Location Address1107F W BROAD STElizabethtown, NC 28337-9483
Mailing AddressPo Box 2482Elizabethtown, NC 28337-2482 · (910) 862-4009 · Fax (910) 862-6004
Phone(910) 862-4009
Fax(910) 862-6004
Organization SubpartNo
Authorized OfficialKristi Starr Baldwin RooksOwner · (910) 914-0011
Enumeration DateMay 7, 2008
✔ NPI 1144496365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 3512
1107F W BROAD ST, Elizabethtown, NC 28337
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Other Identifiers 1

MedicaidAPPLYING FORNC

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

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

COORDINATED HEALTH SERVICES, INC.
Community/Behavioral Health
1107F W BROAD ST
ELIZABETHTOWN, NC 28337
Bladen County (910) 862-4009

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 Wellness PLLC's NPI number?

The NPI number for Modern Wellness PLLC is 1144496365. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is Modern Wellness PLLC located?

Modern Wellness PLLC is located at 1107F W Broad St, Elizabethtown, NC 28337. The listed phone number is (910) 862-4009.

What is Modern Wellness PLLC'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 Wellness PLLC was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.