Healthcare Provider Details

I. General information

NPI: 1235949603
Provider Name (Legal Business Name): MODERN HEALTH AND WELLNESS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 BECKETT CENTER DR STE 110
WEST CHESTER OH
45069-5028
US

IV. Provider business mailing address

8080 BECKETT CENTER DR STE 110
WEST CHESTER OH
45069-5028
US

V. Phone/Fax

Practice location:
  • Phone: 215-436-4850
  • Fax: 215-436-4850
Mailing address:
  • Phone: 215-436-4850
  • Fax: 215-436-4850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. MOSES KAMUIRU
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential:
Phone: 215-436-4850