| Magnolia Mental Health, Llc | |
|
208 E 2nd North St Summerville SC 29483-2157 | |
| (843) 934-4007 | |
| Not Available |
| Full Name | Magnolia Mental Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 208 E 2nd North St, Summerville, South Carolina |
| Authorized Official Name and Position | Christine Reisdorph (OWNER) |
| Authorized Official Contact | 8439344007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Mental Health, Llc 318 Pond Hill Ct Summerville SC 29483-5417 Ph: (509) 828-8898 | Magnolia Mental Health, Llc 208 E 2nd North St Summerville SC 29483-2157 Ph: (843) 934-4007 |
| NPI Number | 1134940174 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134940174 | NPI | - | NPPES |
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