Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairy Therapetuic PLLC

Organization Mental Health Counselor · NPI 1194659631

Fairy Therapetuic PLLC is a Mental Health Counselor in Gainesville, Virginia. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
9
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6884 Piedmont Center Plz
Gainesville, VA 20155-4035
Phone: (571) 284-7612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X
Mental Health Counselor Taxonomy 101YM0800X
Nurse Massage Therapist (NMT) Taxonomy 163WM1400X
Military Health Care Provider Taxonomy 171000000X
Reflexologist Taxonomy 173C00000X
Massage Therapist Taxonomy 225700000X
Occupational Therapist Taxonomy 225X00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1194659631
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMystic Flow Wellness Center
Authorized official Kassi Moore — Relaxational Theraipst · (540) 571-1880
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing addressPo Box 31, Bealeton, VA 22712-0031

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