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MODERN MINDWORK, LLC
NPI 1720858301
Community/Behavioral Health in Bellingham, WA

Active since January 04, 2024
1313 E MAPLE ST # 107, BELLINGHAM, WA 98225(509) 405-1001 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Mindwork, Llc NPPES

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

MODERN MINDWORK, LLC (NPI 1720858301), doing business as Mt Kulshan Ketamine Clinic, is a healthcare organization registered as a community/behavioral health in Bellingham, Washington and active in the NPI registry since January 2024. The organization lists Joanna Starratt, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1720858301
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMODERN MINDWORK, LLC
Location Address1313 E MAPLE ST # 107Bellingham, WA 98225-5708
Mailing Address1313 E Maple St # 107Bellingham, WA 98225-5708 · (509) 405-1001
Phone(509) 405-1001
Organization SubpartNo
Authorized OfficialJoanna StarrattClinical Director · (509) 405-1001
Enumeration DateJanuary 4, 2024
Last NPPES UpdateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
✔ NPI 1720858301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
1313 E MAPLE ST # 107, Bellingham, WA 98225
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Other Names 1

Former Legal Business NameMt Kulshan Ketamine Clinic

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 Mindwork, LLC's NPI number?

The NPI number for Modern Mindwork, LLC is 1720858301. It was assigned to this organization in the NPPES registry on January 4, 2024. The provider was formerly known as Mt Kulshan Ketamine Clinic.

Where is Modern Mindwork, LLC located?

Modern Mindwork, LLC is located at 1313 E Maple St # 107, Bellingham, WA 98225. The listed phone number is (509) 405-1001.

What is Modern Mindwork, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Modern Mindwork, LLC was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.