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

Modern Mind Therapy & Life Coaching LLC

Organization Professional Counselor · NPI 1003493610

Modern Mind Therapy & Life Coaching LLC is a Professional Counselor in Arlington, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4601 Fairfax Dr Ste 1200
Arlington, VA 22203-1559
Phone: (757) 303-7808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1003493610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lakeisha Grayer — Owner · (757) 303-7808
Other names Modern Mind Therapy & Life Coaching Llc
NPI enumeratedMarch 28, 2021
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021
Mailing address13645 Legacy Cir Apt A, Herndon, VA 20171-5265

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