Magnolia Psychiatry LLC
NPI #1093575722 in Mt Pleasant, South Carolina
Provider Information
- NPI Number
- 1093575722
- Entity Type
- Organization
- Organization Name
- Magnolia Psychiatry LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Mar 20, 2024
- Last Updated
- Mar 20, 2024
Practice Location
- Address
- 1001 ANNA KNAPP EXT
- City
- Mt Pleasant
- State
- South Carolina
- ZIP Code
- 29464-5412
- Phone
- (843) 256-3326
Authorized Official
- Name
- DR. ALEXIS ANGEL LAGTAPON GUEVARA, MD
- Title
- CHILD AND ADOLESCENT PSYCHIATRIST
- Phone
- (843) 256-3326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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