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Modern Mystics, LLC

Clinical Social Worker in Fuquay Varina, NC · enumerated 2024 · authorized official Shannon Fahy, Founder/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942060215

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Registry record

Entity type Organization (Type 2)
Legal business name Modern Mystics, LLC
Practice address 637 Barneswyck Dr, Fuquay Varina, NC, 27526
Phone (919) 839-9721
Enumeration date Mar 21, 2024
Last updated in NPPES Mar 21, 2024

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary
175F00000X Naturopath Other Service Providers Secondary
175T00000X Peer Specialist Other Service Providers Secondary

Authorized official

Name Shannon Fahy
Title Founder/Ceo
Phone (919) 839-9721

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-03-21. Verify at npiregistry.cms.hhs.gov.
Where is Modern Mystics, LLC located?
The practice location on file with NPPES is in Fuquay Varina, NC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-21.