MAGNOLIA BEHAVIORAL HEALTH, INC.


Address: 3350 Northlake Pkwy Ne, Atlanta, GA 30345-2204
Phone: 7707248093

MAGNOLIA BEHAVIORAL HEALTH, INC. (NPI# 1730426198) 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) 1730426198
Entity Type Organization
Organization Name MAGNOLIA BEHAVIORAL HEALTH, INC.
Practice Address 3350 Northlake Pkwy Ne
Atlanta
GA 30345-2204
Practice Telephone 7707248093
Mailing Telephone 7707248093
Enumeration Date 2013-01-04
Last Update Date 2013-01-04
Authorized Official Name DR. MIRA MIRA IHEME (PRESIDENT)
Authorized Official Telephone 7707248093
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
GA Ambulatory Health Care Facilities

Office Location

Street Address 3350 NORTHLAKE PKWY NE
City ATLANTA
State GA
Zip Code 30345-2204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588652176 Virginia Ovesen Felder Marriage & Family Therapist 3350 Northlake Pkwy Ne, Atlanta, GA 30345-2204 2005-10-09
1487047049 Magnolia Health Clinic Clinic/Center 3350 Northlake Pkwy Ne, Suite B, Atlanta, GA 30345-2204 2015-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306358726 Marian Barton Kalvert Counselor 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 2017-10-25
1417478439 Reexist Counseling LLC Clinic/Center 1955 Vance Drive Ne, Atlanta, GA 30345 2017-06-29
1366862930 Creative Behavior Consulting Counselor 6212 Northlake Circle Ne, Atlanta, GA 30345 2014-04-22
1215375209 Shakeia Cowan Counselor 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 2013-06-12
1154673259 Phyllis Carrera Counselor 1788-b Century Blvd, Atlanta, GA 30345 2012-10-12
1417216128 Procare Pharmacy, LLC Pharmacy 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 2012-05-15
1962794479 Nicole Renee Buttery Behavioral Analyst 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 2011-05-03
1972839371 Barbara Lopes Cardozo Psychiatry & Neurology 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 2009-10-20
1568615193 Zouheir A Shama Sr. Surgery 2536 Cosmos Drive N.e., Atlanta, GA 30345 2008-10-28
1396930558 Munir Kashlan Dentist 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 2007-09-11
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114536372 The Mindful Match, LLC Clinic/Center 528b Angier Ave Ne, Atlanta, GA 30308-2902 2020-07-23
1427666817 Atlanta Child and Family Therapy, LLC Clinic/Center 2144 Kodiak Dr Ne, Atlanta, GA 30345-4150 2020-07-21
1790271633 Jill Elizabeth Gresham Clinic/Center 750 Hammond Dr Ste 100, Atlanta, GA 30328-5532 2018-07-03
1790204204 Case Support Services Clinic/Center 4272 Sublime Trl, Atlanta, GA 30349-8883 2017-09-15
1922531938 Scott Psychological Services, LLC Clinic/Center 5 Concourse Pkwy, Atlanta, GA 30328-5350 2017-04-06
1760710271 Tk Consulting, Inc. Clinic/Center 3781 Presidential Pkwy Ste 111d, Atlanta, GA 30340-3773 2009-11-20
1215561139 Healing and Renewal Wellness Clinic/Center 464 Cherokee Ave Se Ste 202, Atlanta, GA 30312-3260 2020-02-29
1588204374 Berribizi LLC Clinic/Center 41 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7424 2020-01-09
1083001796 T2s Enterprises, LLC Clinic/Center 2001 Martin Luther King Jr Dr Sw, Suite 540, Atlanta, GA 30310-1101 2015-04-20
1639498884 The Simple Life Services, Inc. Clinic/Center 1827 Powers Ferry Rd Se, Bldg 1 Ste 250, Atlanta, GA 30339-5621 2010-05-27
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Competitor

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City ATLANTA
Zip Code 30345

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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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