The Magnolia Clinic, Llc

LBN: The Magnolia Clinic, Llc
The Magnolia Clinic, Llc is an health care organization with primary practice located at 1124 Galveston Ave Ste B , Fort Worth TX 76104-4878. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. The Magnolia Clinic, Llc can be contacted via phone (817) 609-2289, or through Wasonga, Jacob via phone (817) 609-2289.

Contact Information

Primary practice address
1124 Galveston Ave Ste B Fort Worth TX 76104-4878
Phone: (817) 609-2289
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wasonga, Jacob
Phone: (817) 609-2289

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1629731302
LBN Legal business name The Magnolia Clinic, Llc
DBA Doing business as
Authorized official Wasonga, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2021
Last updated Oct 19th, 2021 - about 3 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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