| Magnolia Mental Health & Wellness, Inc. | |
|
115 Lake Broward Ln Pomona Park FL 32181-2136 | |
| (386) 338-1838 | |
| Not Available |
| Full Name | Magnolia Mental Health & Wellness, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 115 Lake Broward Ln, Pomona Park, Florida |
| Authorized Official Name and Position | Katherine Bishop (OWNER) |
| Authorized Official Contact | 3863381838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Mental Health & Wellness, Inc. 115 Lake Broward Ln Pomona Park FL 32181-2136 Ph: (386) 338-1838 | Magnolia Mental Health & Wellness, Inc. 115 Lake Broward Ln Pomona Park FL 32181-2136 Ph: (386) 338-1838 |
| NPI Number | 1265223242 |
|---|---|
| Provider Enumeration Date | 05/16/2025 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265223242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |