Organization · Type 2 NPI

Magnolia Behavioral Health, PLLC

Prevention Professional · Fuquay Varina, NC

NPI number 1245013770 Active

Practice location

602 E Academy St Ste 205
Fuquay Varina, NC 27526-2382

Fax (919) 289-1713

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	None listed
Specialist	174400000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed
Prevention Professional Primary	405300000X	None listed

Prevention Professional: Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship s…

5 other providers at this address

NPI record

NPI: 1245013770
Entity type: Organization (Type 2)
Issued: Aug 17, 2023
Last updated: Mar 8, 2024
Status: Active

Other names

<unavail>
Magnolia Psychiatry and Mental Wellness · doing business as
Magnolia Psychiatry and Mental Wellness · doing business as

Authorized official

Jacqueline Wenzel, PMHNP-BC
CEO/owner
(919) 961-1948

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1245013770

Magnolia Behavioral Health, PLLC's National Provider Identifier is 1245013770, issued on Aug 17, 2023. The primary taxonomy on file is Prevention Professional (405300000X), and the practice location is in Fuquay Varina, NC. The record was last updated on Mar 8, 2024.