| Magnolia Counseling Services, Llc | |
|
3617 Braselton Hwy Suite 104 Dacula GA 30019-4667 | |
| (678) 451-8693 | |
| (770) 783-8927 |
| Full Name | Magnolia Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3617 Braselton Hwy, Dacula, Georgia |
| Authorized Official Name and Position | Cheryl Marie Hughes (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6784518693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Counseling Services, Llc 3617 Braselton Hwy Suite 104 Dacula GA 30019-4667 Ph: (678) 451-8693 | Magnolia Counseling Services, Llc 3617 Braselton Hwy Suite 104 Dacula GA 30019-4667 Ph: (678) 451-8693 |
| NPI Number | 1831478510 |
|---|---|
| Provider Enumeration Date | 08/11/2011 |
| Last Update Date | 03/28/2013 |
| Medicare PECOS PAC ID | 8022281393 |
|---|---|
| Medicare Enrollment ID | O20111102000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831478510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW003806 (Georgia) | Primary |
| Provider Name | Cheryl M Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225345093 PECOS PAC ID: 2860660164 Enrollment ID: I20110712000261 |
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