| Magnolia Counseling | |
|
871 Coronado Center Dr Ste 200 Henderson NV 89052-3977 | |
| (702) 475-9751 | |
| Not Available |
| Full Name | Magnolia Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 871 Coronado Center Dr Ste 200, Henderson, Nevada |
| Authorized Official Name and Position | Tammy Shield-rice (OWNER) |
| Authorized Official Contact | 7027045615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Counseling 314 New River Cir Henderson NV 89052-2367 Ph: (702) 704-5615 | Magnolia Counseling 871 Coronado Center Dr Ste 200 Henderson NV 89052-3977 Ph: (702) 475-9751 |
| NPI Number | 1730745381 |
|---|---|
| Provider Enumeration Date | 05/18/2019 |
| Last Update Date | 05/22/2019 |
| Medicare PECOS PAC ID | 4789911447 |
|---|---|
| Medicare Enrollment ID | O20190805000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730745381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tammy L Shield-rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952763211 PECOS PAC ID: 7517245947 Enrollment ID: I20161104001775 |
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