MAGNOLIA HEALTHCARE LLC NPI 1225716178

NPI Information

  • NPI: 1225716178
  • Provider Name: MAGNOLIA HEALTHCARE LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 1101 NIGHT CAP LN
    KNOXVILLE, TN
    ZIP 37919
  • Phone: (912) 660-1547

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NPI Details

MAGNOLIA HEALTHCARE LLC is a multi-specialty clinic center in Knoxville, TN. MAGNOLIA HEALTHCARE LLC NPI is 1225716178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1101 NIGHT CAP LN
KNOXVILLE, TN
ZIP 37919-746
Phone: (912) 660-1547

The provider's authorized official is Tera Marie Campbell .
The authorized official title is Owner and has the following contact phone number (910) 849-5517.

The enumeration date for this NPI number is 7/10/2023 and was last updated on 7/31/2023.

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
1101YM0800XCounselorMental HealthNo
2103K00000XBehavior AnalystNo
3106E00000XAssistant Behavior AnalystNo
4106S00000XBehavior TechnicianNo
5224Z00000XOccupational Therapy AssistantNo
6225X00000XOccupational TherapistNo
72355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
8235Z00000XSpeech-Language PathologistNo
9251S00000XCommunity/Behavioral HealthNo
10261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

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