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Organization
MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC
Active
Organization
MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE AEGER ROSS PMHNP (OWNER)
(228) 338-6853
Entity
Organization
Contact information
Practice address
549 E PASS RD, GULFPORT, MS 39507-3261
(228) 338-6853
(228) 333-0682
Mailing address
1110 COWAN RD STE B, #202, GULFPORT, MS 39507-3441
(228) 338-6853
(228) 333-0682
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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