| Magnolia Therapy Llc | |
|
8405 Kimber Ridge Dr Irvington AL 36544-4546 | |
| (251) 455-2306 | |
| Not Available |
| Full Name | Magnolia Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8405 Kimber Ridge Dr, Irvington, Alabama |
| Authorized Official Name and Position | Marissa Jadick (CREDENTIALING) |
| Authorized Official Contact | 2518881904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Therapy Llc 8405 Kimber Ridge Dr Irvington AL 36544-4546 Ph: (251) 455-2306 | Magnolia Therapy Llc 8405 Kimber Ridge Dr Irvington AL 36544-4546 Ph: (251) 455-2306 |
| NPI Number | 1316838931 |
|---|---|
| Provider Enumeration Date | 07/11/2025 |
| Last Update Date | 07/11/2025 |
| Certification Date | 07/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316838931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |