# MAGNOLIA MENTAL HEALTH SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316513559
- **Authorized official:** TONYA GREENE STELLY RN,MSM,PMHNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (225) 773-0942

## Contact information

- **Practice address:** 11764 HAYMARKET AVE, BATON ROUGE, LA 70816-6009
- **Practice address phone:** (225) 773-0942
- **Mailing address:** 13170 DUTCHTOWN POINT AVE APT 1421, GONZALES, LA 70737-0105
- **Mailing address phone:** (225) 773-0942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2021
- **Last updated:** 09/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1316513559 | — | LA |