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MAGNOLIA WELLNESS GROUP PC NPI 1982175469


NPI Information

NPI: 1982175469
Provider Name: MAGNOLIA WELLNESS GROUP, PC

Former Legal Business Name: MAGNOLIA MENTAL HEALTH ASSOCIATES, PC

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1904 EASTWOOD RD STE 313
WILMINGTON, NC
ZIP 28403
Phone: (910) 375-7500
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MAGNOLIA WELLNESS GROUP, PC is an adolescent and children mental health clinic center in Wilmington, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. MAGNOLIA WELLNESS GROUP, PC NPI is 1982175469. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Magnolia Mental Health Associates, Pc.

The provider's business location address is:

1904 EASTWOOD RD STE 313
WILMINGTON, NC
ZIP 28403-728
Phone: (910) 375-7500

The provider's authorized official is Jeffrey Litzinger .
The authorized official title is Medical Director and has the following contact phone number (910) 375-7500.

The enumeration date for this NPI number is 12/10/2018 and was last updated on 6/11/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental 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: 4/28/2024

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