Magnolia Counseling LLC
Social Worker, Clinical in Hernando, MS. Organization (NPI-2).
NPI number1831996404
StatusActive
Last updated in NPPESFeb 28, 2025
Details
- NPI
- 1831996404
- Entity type
- Organization (NPI-2)
- Legal business name
- Magnolia Counseling LLC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2025
- Certification date
- Feb 28, 2025
- Last updated
- Feb 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2446 Caffey St Ste 2aHernando, MS 38632-1710
Phone 662-863-4628
Mailing address
2446 Caffey St Ste 2aHernando, MS 38632-1710
Phone 662-863-4628
Authorized official
Julie Ferguson
Owner
6628634628
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