| Magnolia Way Counseling And Assessments, Llc | |
|
287 S Broadview St Ste C-2 Greenbrier AR 72058-9233 | |
| (501) 575-0510 | |
| (501) 575-0550 |
| Full Name | Magnolia Way Counseling And Assessments, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 287 S Broadview St Ste C-2, Greenbrier, Arkansas |
| Authorized Official Name and Position | Tia Kaye Morris (OWNER/CLINICIAN) |
| Authorized Official Contact | 5014381515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Way Counseling And Assessments, Llc Po Box 783 Greenbrier AR 72058-0783 Ph: (501) 575-0510 | Magnolia Way Counseling And Assessments, Llc 287 S Broadview St Ste C-2 Greenbrier AR 72058-9233 Ph: (501) 575-0510 |
| NPI Number | 1396477824 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396477824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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