OrganizationActive
Modern Wellness Collective LLC
NPI 1679437446 · Addiction Medicine (Psychiatry & Neurology) Physician · Philadelphia, PA
Provider details
- NPI number
- 1679437446
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aliyah Hurling, Cofounder(445) 800-5022
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
- Geriatric Psychiatry Physician2084P0805X
Allopathic & Osteopathic Physicians
Practice location
3228 N 20th Street
Philadelphia, PA 19140
Phone: (445) 800-5022
Approximate (ZIP-level) locationGet directions
Mailing address
2702 S 80th St
Philadelphia, PA 19153-1103
Registry dates
- Enumerated
- 2025-12-15
- Last updated
- 2025-12-15
- Certified
- 2025-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.