| Magnolia Counseling LLC | |
|
2446 Caffey St Ste 2a Hernando MS 38632-1710 | |
| (662) 863-4628 | |
| Not Available |
| Full Name | Magnolia Counseling LLC |
|---|---|
| Speciality | Social Worker |
| Location | 2446 Caffey St Ste 2a, Hernando, Mississippi |
| Authorized Official Name and Position | Julie Ferguson (OWNER) |
| Authorized Official Contact | 6628634628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Counseling LLC 2446 Caffey St Ste 2a Hernando MS 38632-1710 Ph: (662) 863-4628 | Magnolia Counseling LLC 2446 Caffey St Ste 2a Hernando MS 38632-1710 Ph: (662) 863-4628 |
| NPI Number | 1831996404 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 02/28/2025 |
| Certification Date | 02/28/2025 |
| Medicare PECOS PAC ID | 7517483225 |
|---|---|
| Medicare Enrollment ID | O20250425000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831996404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Julie Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760919823 PECOS PAC ID: 8022360114 Enrollment ID: I20250425000772 |
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