| Magnolia Counseling And Wellness, Pllc | |
|
4010 Oleander Dr Wilmington NC 28403-6841 | |
| (910) 297-6027 | |
| Not Available |
| Full Name | Magnolia Counseling And Wellness, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4010 Oleander Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Mary Petrina Goodwin (OWNER, THERAPIST) |
| Authorized Official Contact | 9102976027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Counseling And Wellness, Pllc 6814 Wyck Farm Way Wilmington NC 28405-6108 Ph: (910) 297-6027 | Magnolia Counseling And Wellness, Pllc 4010 Oleander Dr Wilmington NC 28403-6841 Ph: (910) 297-6027 |
| NPI Number | 1346941499 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 4183099963 |
|---|---|
| Medicare Enrollment ID | O20230410000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346941499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mary Petrina Goodwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124415302 PECOS PAC ID: 1456684810 Enrollment ID: I20190618000671 |
Mqa Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Westchester Rd, Wilmington, NC 28409 Phone: 202-658-6337 | |
Coastal Horizons Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-790-0187 Fax: 910-790-0189 | |
Pinnacle Family Services Of North Carolina Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Queen St Ste 3, Wilmington, NC 28401 Phone: 919-790-8580 | |
Crystal River Psychiatric, Grp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2595 S 17th St, Wilmington, NC 28401 Phone: 910-799-2283 Fax: 910-791-9227 | |
Compass Rose Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Walnut St Ste 108, Wilmington, NC 28401 Phone: 910-233-1878 | |
Cultivate Wellness Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3807 Wrightsville Ave Ste 24, Wilmington, NC 28403 Phone: 910-902-9293 Fax: 910-778-1156 | |
The Healing Point, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3205 Randall Pkwy Ste 128, Wilmington, NC 28403 Phone: 910-338-9093 |