Magnolia Therapy Llc

LBN: Magnolia Therapy Llc
Magnolia Therapy Llc is an health care organization with primary practice located at 1502 S Colorado St , Greenville MS 38703-7219. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Magnolia Therapy Llc can be contacted via phone (662) 579-8508, or through Corban, Ashley Brown via phone (662) 579-8508.

Contact Information

Primary practice address
1502 S Colorado St Greenville MS 38703-7219
Phone: (662) 579-8508
Fax: (601) 586-8334
Website:
Map and Directions
Authorized official contact:
Name: Corban, Ashley Brown MS, CCC-SLP
Phone: (662) 579-8508

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1467032953
LBN Legal business name Magnolia Therapy Llc
DBA Doing business as
Authorized official Corban, Ashley Brown MS, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2021
Last updated May 23rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467032953 NPPES
Mississippi MEDICAID 07509591

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