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).
| 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 |
| 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 |
| Street Address |
1165 AIRPORT BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78702-3152 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 78702 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| 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 |
| Find all providers in AUSTIN | ||||
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| 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.