Organization · Type 2 NPI

Modern Wellness Collective LLC

Addiction Medicine (Psychiatry & Neurology) Physician · Philadelphia, PA

NPI number 1679437446 Active

Practice location

3228 N 20th Street
Philadelphia, PA 19140

Mailing address

2702 S 80th St
Philadelphia, PA 19153-1103

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed
Psychiatry Physician 2084P0800XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Geriatric Psychiatry Physician 2084P0805XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

2 other providers at this address

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About NPI 1679437446

Modern Wellness Collective LLC's National Provider Identifier is 1679437446, issued on Dec 15, 2025. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 15, 2025.