MS. MAGNOLIA DELOISE CAVANAUGH


Address: 1165 Airport Blvd, Austin, TX 78702-3152
Phone: 5128043517

MS. MAGNOLIA DELOISE CAVANAUGH (NPI# 1588278667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588278667
Entity Type Individual
Full Name MS. MAGNOLIA DELOISE CAVANAUGH
Credential LCDC
Practice Address 1165 Airport Blvd
Austin
TX 78702-3152
Mailing Address 1430 Collier St
Austin
TX 78704-2911
Practice Telephone 5128043517
Mailing Telephone 5124724357
Mailing Fax Number 5127031394
Enumeration Date 2020-09-04
Last Update Date 2020-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
15384 TX Behavioral Health & Social Service Providers

Office Location

Street Address 1165 AIRPORT BLVD
City AUSTIN
State TX
Zip Code 78702-3152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558571489 Joan Cook Chapmond Registered Nurse 1165 Airport Blvd, Austin, TX 78702-3152 2007-05-22
1174121594 Jason Henderson Registered Nurse 1165 Airport Blvd, Austin, TX 78702-3152 2020-10-16
1609401173 Sidney Douglas Social Worker 1165 Airport Blvd, Austin, TX 78702-3152 2020-03-05
1861024937 Samantha Josephine Montemayor Counselor 1165 Airport Blvd, Austin, TX 78702-3152 2020-02-06
1477196012 Jeremy Matthew Smiddy Registered Nurse 1165 Airport Blvd, Austin, TX 78702-3152 2019-10-27
1386291003 Roberta Jean Randall Licensed Vocational Nurse 1165 Airport Blvd, Austin, TX 78702-3152 2019-08-19
1609422385 Stephanie L Virata Licensed Vocational Nurse 1165 Airport Blvd, Austin, TX 78702-3152 2019-08-17
1992358154 Trenton Ray Turner Counselor 1165 Airport Blvd, Austin, TX 78702-3152 2019-07-17
1396304143 Stephen Morocco Nurse Practitioner 1165 Airport Blvd, Austin, TX 78702-3152 2019-06-06
1043771504 Jennifer M Ozzello Registered Nurse 1165 Airport Blvd, Austin, TX 78702-3152 2019-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487207171 Enamel Dentistry Saltillo, Pllc Clinic/Center 901 E. 5th Street, Suite 170, Austin, TX 78702 2019-07-22
1730678616 Marci Lawson Counselor 1103 Cherico St Unit 3, Austin, TX 78702 2018-05-06
1730608340 Gloria Robertson Hatfield Social Worker 501 N I-35, Ste 112, Austin, TX 78702 2017-09-14
1083063168 Nona Mason Nurse Practitioner Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 2016-06-08
1124487467 Sarah Beth Mclaughlin Social Worker 1631 E. 2nd St., Bldg. E, Austin, TX 78702 2016-02-15
1972969590 Austin Mind Body Counselor 905 E. 5th Street, Suite 102, Austin, TX 78702 2016-01-12
1972976777 Stacy Griffin Social Worker 1631 E. 2nd Street, Austin, TX 78702 2015-11-03
1396111894 Jocelyn Jarmon Health Maintenance Organization 1803 Ulit Avenue, Austin, TX 78702 2015-08-19
1396142972 Jillessa Fiorillo Social Worker 1631-d East 2nd Street, Austin, TX 78702 2014-11-26
1518390962 Emily Anna Murray Physical Therapist 1621 E 6th St # 11488, Austin, TX 78702 2013-08-20
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013985 Kyle Allan Mccall Counselor 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 2020-11-06
1639770969 Fadya Therapy Pllc Counselor 1452 Wild Basin Ldg, Austin, TX 78746-2700 2020-11-03
1669089504 Tess Lenae Taylor Counselor 1205 Luna St, Austin, TX 78721-1229 2020-09-24
1053922682 Texas Community Supervision Alternatives, LLC Counselor 6400 E Highway 290 Ste 200, Austin, TX 78723-1032 2020-08-17
1285252551 Fundamentals of Recovery LLC Counselor 7509 Menchaca Rd Unit 301, Austin, TX 78745-6062 2020-07-13
1447883384 Collin Speciale Counselor 6115 Mountain Villa Cv, Austin, TX 78731-3518 2020-02-19
1477104511 Y. Diana Johnson Counselor 7901 Cameron Rd Ste 2-139, Austin, TX 78754-3802 2019-09-20
1083189930 Jettie C Young Counselor 4101 Louise Lee Dr, Austin, TX 78725-4005 2018-10-08
1285112581 Sara Galindo Counselor 1409 Sanchez St Unit A, Austin, TX 78702-1638 2018-07-30
1952896961 Blanca Sanchez-navarro Counselor 3407 W Slaughter Ln Ste A, Austin, TX 78748-5715 2018-06-22
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Competitor

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City AUSTIN
Zip Code 78702

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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