| Magnolia Counseling Services, Llc | |
|
101 Duncraig Dr Unit 104 Lynchburg VA 24502-5790 | |
| (434) 237-4305 | |
| (434) 237-4307 |
| Full Name | Magnolia Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 101 Duncraig Dr Unit 104, Lynchburg, Virginia |
| Authorized Official Name and Position | Amy Spangler-dunning (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4342374305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Counseling Services, Llc 101 Duncraig Dr Unit 104 Lynchburg VA 24502-5790 Ph: (434) 237-4305 | Magnolia Counseling Services, Llc 101 Duncraig Dr Unit 104 Lynchburg VA 24502-5790 Ph: (434) 237-4305 |
| NPI Number | 1336768159 |
|---|---|
| Provider Enumeration Date | 04/12/2020 |
| Last Update Date | 04/12/2020 |
| Certification Date | 04/12/2020 |
| Medicare PECOS PAC ID | 9436596111 |
|---|---|
| Medicare Enrollment ID | O20240318003227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336768159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Amy R Spangler-dunning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629338629 PECOS PAC ID: 0941647622 Enrollment ID: I20240318003436 |
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