Magnolia Integrated Health, Llc

LBN: Magnolia Integrated Health, Llc
Magnolia Integrated Health, Llc is an health care organization with primary practice located at 2227 Idlewood Rd Suite 2, Tucker GA 30084-4827. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Magnolia Integrated Health, Llc can be contacted via phone (678) 922-2834, or through Iheme, Mira via phone (678) 922-2834.

Contact Information

Primary practice address
2227 Idlewood Rd Suite 2 Tucker GA 30084-4827
Phone: (678) 922-2834
Fax: (678) 922-2270
Website:
Map and Directions
Authorized official contact:
Name: Iheme, Mira PH.D., LPC
Phone: (678) 922-2834

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC002789 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC006908 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005575 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC003902 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005116 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 69322 Georgia

Profile Details

NPI number 1558731604
LBN Legal business name Magnolia Integrated Health, Llc
DBA Doing business as
Authorized official Iheme, Mira PH.D., LPC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2015
Last updated Oct 1st, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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