| Magnolia Wellness & Psychology, Llc | |
|
440 S Perry St Ste 202 Lawrenceville GA 30046-4873 | |
| (404) 436-2368 | |
| Not Available |
| Full Name | Magnolia Wellness & Psychology, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 440 S Perry St Ste 202, Lawrenceville, Georgia |
| Authorized Official Name and Position | Tamyra Edwards (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 4044362368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Wellness & Psychology, Llc 306 Exchange Blvd. Ste. 400, Pmb 234 Bethlehem GA 30620 Ph: () - | Magnolia Wellness & Psychology, Llc 440 S Perry St Ste 202 Lawrenceville GA 30046-4873 Ph: (404) 436-2368 |
| NPI Number | 1740919711 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740919711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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