| Magnolia Psychological Services Llc | |
|
1124 Park West Blvd Ste 202 Mt Pleasant SC 29466-7158 | |
| (843) 284-6389 | |
| Not Available |
| Full Name | Magnolia Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1124 Park West Blvd Ste 202, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Kelly Rabenstein Donohoe (OWNER) |
| Authorized Official Contact | 8432846389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Psychological Services Llc 1124 Park West Blvd Ste 202 Mt Pleasant SC 29466-7158 Ph: (843) 284-6389 | Magnolia Psychological Services Llc 1124 Park West Blvd Ste 202 Mt Pleasant SC 29466-7158 Ph: (843) 284-6389 |
| NPI Number | 1629633870 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629633870 | NPI | - | NPPES |
| 1541 | Other | SC | STATE LICENSE |
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