MAGNOLIA THERAPY AND WELLNESS NPI 1083387393

NPI Information

NPI: 1083387393
Provider Name: MAGNOLIA THERAPY AND WELLNESS
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1731 VAN DYKE ST APT 1
DETROIT, MI
ZIP 48214
Phone: (616) 446-2265
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MAGNOLIA THERAPY AND WELLNESS is a mental health (including community mental health center) clinic center in Detroit, MI. MAGNOLIA THERAPY AND WELLNESS NPI is 1083387393. The provider is registered as an organization entity type.

The provider's business location address is:

1731 VAN DYKE ST APT 1
DETROIT, MI
ZIP 48214-633
Phone: (616) 446-2265

The provider's authorized official is Samantha Marie Chittenden .
The authorized official title is Owner and has the following contact phone number (616) 446-2265.

The enumeration date for this NPI number is 8/1/2021 and was last updated on 9/20/2021.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 11/14/2023

NPI Synchronization or Removal

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