Organization · Type 2 NPI

Magnolia Therapeutic Solutions

Community/Behavioral Health Agency · Desoto, TX

NPI number 1578098406 Active

Practice location

1630 Falcon Dr, Suite 104
Desoto, TX 75115-2416

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1578098406
Entity type: Organization (Type 2)
Issued: Apr 28, 2017
Last updated: Oct 2, 2017
Status: Active

Other names

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Magnolia Therapeutic Services · doing business as
Magnolia Therapeutic Services · doing business as

Authorized official

Ms. Shakeithdra Rashae Lee, RN
RN - Case Manager
(281) 630-2328

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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.

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About NPI 1578098406

Magnolia Therapeutic Solutions's National Provider Identifier is 1578098406, issued on Apr 28, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Desoto, TX. The record was last updated on Oct 2, 2017.