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MODERN MYSTICS, LLC
NPI 1942060215
Social Worker - Clinical in Fuquay Varina, NC

Active since March 21, 2024
637 BARNESWYCK DR, FUQUAY VARINA, NC 27526(919) 839-9721 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Mystics, Llc NPPES

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

MODERN MYSTICS, LLC (NPI 1942060215) is a healthcare organization registered as a clinical in Fuquay Varina, North Carolina and active in the NPI registry since March 2024. The organization lists Shannon Fahy, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1942060215
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMODERN MYSTICS, LLC
Location Address637 BARNESWYCK DRFuquay Varina, NC 27526-2277
Mailing Address637 Barneswyck DrFuquay Varina, NC 27526-2277
Phone(919) 839-9721
Organization SubpartNo
Authorized OfficialShannon FahyFounder/ceo · (919) 839-9721
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1942060215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedNaturopathTaxonomy 175F00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
637 BARNESWYCK DR, Fuquay Varina, NC 27526
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Mystics, LLC's NPI number?

The NPI number for Modern Mystics, LLC is 1942060215. It was assigned to this organization in the NPPES registry on March 21, 2024.

Where is Modern Mystics, LLC located?

Modern Mystics, LLC is located at 637 Barneswyck Dr, Fuquay Varina, NC 27526. The listed phone number is (919) 839-9721.

What is Modern Mystics, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Modern Mystics, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Modern Mystics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Mystics, LLC was last updated on March 21, 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.