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

Modern Soul Therapy LLC

Organization Mental Health Counselor · NPI 1013516145

Modern Soul Therapy LLC is a Mental Health Counselor in Quincy, Massachusetts. Registered with an NPI since 2020.

In the registry since
2020
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

120 Whitwell St Unit D-106
Quincy, MA 02169-1998
Phone: (740) 408-6407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1013516145
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mallory Ingram — Owner · (740) 408-6407
NPI enumeratedOctober 20, 2020
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing address120 Whitwell St Unit D-106, Quincy, MA 02169-1998

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