Magnolia Therapy Group, LLC
Counselor in Baton Rouge, LA. Organization (NPI-2).
NPI number1033936331
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1033936331
- Entity type
- Organization (NPI-2)
- Legal business name
- Magnolia Therapy Group, LLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2024
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2924 Brakley Dr Ste B6Baton Rouge, LA 70816-2333
Phone 225-605-3065 · Fax 225-605-3065
Mailing address
2924 Brakley Dr Ste B6Baton Rouge, LA 70816-2333
Phone 225-605-3065 · Fax 225-605-3065
Authorized official
Ashley Ernst Blackwell
Owner
2256053065
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