Magnolia Wellness, Llc

LBN: Magnolia Wellness, Llc
Magnolia Wellness, Llc is an health care organization with primary practice located at 302 State St Suite 201, New London CT 06320-2310. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Magnolia Wellness, Llc can be contacted via phone (860) 439-1300, or through Tircuit-Posey, Gizelle E via phone (860) 439-1300.

Contact Information

Primary practice address
302 State St Suite 201 New London CT 06320-2310
Phone: (860) 439-1300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tircuit-Posey, Gizelle E Licensed Professional Counselor (LPC)
Phone: (860) 439-1300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002923 Connecticut

Profile Details

NPI number 1760913347
LBN Legal business name Magnolia Wellness, Llc
DBA Doing business as
Authorized official Tircuit-Posey, Gizelle E Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2017
Last updated Mar 24th, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760913347 NPPES
Connecticut MEDICAID CBHP007958

Popular Providers