Magnolia Psychological Services Llc

LBN: Magnolia Psychological Services Llc
Magnolia Psychological Services Llc is an health care organization with primary practice located at 1124 Park West Blvd Ste 202 , Mt Pleasant SC 29466-7158. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Counseling is the primary health care specialty. Magnolia Psychological Services Llc can be contacted via phone (843) 284-6389, or through Donohoe, Kelly Rabenstein via phone (843) 284-6389.

Contact Information

Primary practice address
1124 Park West Blvd Ste 202 Mt Pleasant SC 29466-7158
Phone: (843) 284-6389
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Donohoe, Kelly Rabenstein PSYD
Phone: (843) 284-6389

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1629633870
LBN Legal business name Magnolia Psychological Services Llc
DBA Doing business as
Authorized official Donohoe, Kelly Rabenstein PSYD
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2019
Last updated Jun 11th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629633870 NPPES
South Carolina Other 1541 STATE LICENSE

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