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Organization
MAGNOLIA FAMILY THERAPY CENTER
Active
Organization
MAGNOLIA FAMILY THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN SERKIS (OWNER)
(808) 953-5049
Entity
Organization
Contact information
Practice address
540 MANAWAI ST APT 301, KAPOLEI, HI 96707-4541
(808) 953-5049
Mailing address
502 RICHEY PL, PEACHTREE CITY, GA 30269-3644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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