| Magnolia Restorative Counseling | |
|
1601 Elm St Ste 4360 Dallas TX 75201-4701 | |
| (210) 904-8639 | |
| Not Available |
| Full Name | Magnolia Restorative Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1601 Elm St Ste 4360, Dallas, Texas |
| Authorized Official Name and Position | Savannah Coffey (OWNER) |
| Authorized Official Contact | 2109048639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Restorative Counseling 14317 Potranco Rd Ste. 205 #1015 San Antonio TX 78253 Ph: (210) 904-8639 | Magnolia Restorative Counseling 1601 Elm St Ste 4360 Dallas TX 75201-4701 Ph: (210) 904-8639 |
| NPI Number | 1679258586 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679258586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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