Magnolia Behavioral Health Services Pllc
NPI #1235995648 in Randolph, Massachusetts
Provider Information
- NPI Number
- 1235995648
- Entity Type
- Organization
- Organization Name
- Magnolia Behavioral Health Services Pllc
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Feb 23, 2024
- Last Updated
- Jun 20, 2024
Practice Location
- Address
- 247 N MAIN ST STE 13
- City
- Randolph
- State
- Massachusetts
- ZIP Code
- 02368-4172
- Phone
- (617) 435-4633
Authorized Official
- Name
- NIRVA LAFONTANT
- Title
- OWNER
- Phone
- (617) 435-4633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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