Organization · Type 2 NPI
Southern Magnolia Therapy LLC
Mental Health Counselor · Goodyear, AZ
NPI number
1003615238
Active
Practice location
25 N 173rd Ave Apt 2
Goodyear, AZ 85338-6712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1003615238
Southern Magnolia Therapy LLC's National Provider Identifier is 1003615238, issued on Mar 11, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Goodyear, AZ. The record was last updated on May 5, 2026.