# SOUTHERN MAGNOLIA MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAGNOLIA PSYCHIATRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346866845
- **Authorized official:** KEVIN STUMP NP (OWNER)
- **Authorized official phone:** (210) 787-8973

## Contact information

- **Practice address:** 22325 GOSLING RD, SPRING, TX 77389-4409
- **Practice address phone:** (281) 724-7980
- **Mailing address:** 22325 GOSLING RD, SPRING, TX 77389-4409
- **Mailing address phone:** (281) 724-7980

## 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:** 06/19/2020
- **Last updated:** 01/25/2024