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

Modern Mystics, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1942060215

Modern Mystics, LLC is an Addiction (Substance Use Disorder) Counselor in Fuquay Varina, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
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

637 Barneswyck Dr
Fuquay Varina, NC 27526-2277
Phone: (919) 839-9721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Naturopath Taxonomy 175F00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1942060215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Fahy — Founder/Ceo · (919) 839-9721
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address637 Barneswyck Dr, Fuquay Varina, NC 27526-2277

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