Provider Demographics
NPI:1306635248
Name:MODERN THERAPY SOLUTIONS
Entity type:Organization
Organization Name:MODERN THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LCPC
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:UNGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:240-454-5156
Mailing Address - Street 1:1336 HUNTOVER DR
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2123
Mailing Address - Country:US
Mailing Address - Phone:240-454-5156
Mailing Address - Fax:
Practice Address - Street 1:1336 HUNTOVER DR
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-2123
Practice Address - Country:US
Practice Address - Phone:240-454-5156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty