| Magnolia Therapy Group, Llc | |
|
2924 Brakley Dr Ste B6 Baton Rouge LA 70816-2333 | |
| (225) 605-3065 | |
| (225) 605-3065 |
| Full Name | Magnolia Therapy Group, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2924 Brakley Dr Ste B6, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Ashley Ernst Blackwell (OWNER) |
| Authorized Official Contact | 2256053065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Therapy Group, Llc 2924 Brakley Dr Ste B6 Baton Rouge LA 70816-2333 Ph: (225) 605-3065 | Magnolia Therapy Group, Llc 2924 Brakley Dr Ste B6 Baton Rouge LA 70816-2333 Ph: (225) 605-3065 |
| NPI Number | 1033936331 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033936331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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