| Magnolia Therapy Services Pllc | |
|
209 Lloyd St Ste 230 Carrboro NC 27510-1855 | |
| (984) 600-7577 | |
| (844) 444-0749 |
| Full Name | Magnolia Therapy Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 209 Lloyd St Ste 230, Carrboro, North Carolina |
| Authorized Official Name and Position | Maxine Schroeder Lebel (OWNER) |
| Authorized Official Contact | 9199237420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Therapy Services Pllc 1821 Hillandale Rd Ste 1b-230 Durham NC 27705-2659 Ph: (984) 600-7577 | Magnolia Therapy Services Pllc 209 Lloyd St Ste 230 Carrboro NC 27510-1855 Ph: (984) 600-7577 |
| NPI Number | 1972389914 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 5698122984 |
|---|---|
| Medicare Enrollment ID | O20231108000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972389914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maxine Schroeder Lebel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609342336 PECOS PAC ID: 6002283066 Enrollment ID: I20221103001407 |
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