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MAGNOLIA HEALTH AND WELLNESS CENTERS LLC NPI 1104598762


NPI Information

NPI: 1104598762
Provider Name: MAGNOLIA HEALTH AND WELLNESS CENTERS LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
468 DRYDEN LOOP
DRYDEN, VA
ZIP 24243
Phone: (276) 296-0966
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MAGNOLIA HEALTH AND WELLNESS CENTERS LLC is a community behavioral health in Dryden, VA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MAGNOLIA HEALTH AND WELLNESS CENTERS LLC NPI is 1104598762. The provider is registered as an organization entity type.

The provider's business location address is:

468 DRYDEN LOOP
DRYDEN, VA
ZIP 24243-551
Phone: (276) 296-0966
Fax: (949) 503-8066

The provider's authorized official is Rodney Terry .
The authorized official title is Administrator and has the following contact phone number (252) 452-6075.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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