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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629633870 | NPPES |
| South Carolina | Other | 1541 | STATE LICENSE |
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