Magnolia Healthcare LLC

NPI #1225716178 in Knoxville, Tennessee

Provider Information

NPI Number: 1225716178
Entity Type: Organization
Organization Name: Magnolia Healthcare LLC
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Jul 10, 2023
Last Updated: Jul 31, 2023

Practice Location

Address: 1101 NIGHT CAP LN
City: Knoxville
State: Tennessee
ZIP Code: 37919-8746
Phone: (912) 660-1547

Authorized Official

Name: TERA MARIE CAMPBELL
Title: OWNER
Phone: (910) 849-5517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Analyst	103K00000X
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Occupational Therapy Assistant	224Z00000X
Occupational Therapist	225X00000X
Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant	2355S0801X
Speech-Language Pathologist	235Z00000X
Community/Behavioral Health	251S00000X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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