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Organization
MAGNOLIA MEADOWS LLC
Active
Organization
MAGNOLIA MEADOWS LLC
Active
Parent organization
MAGNOLIA MEADOWS LLC
Other names
MAGNOLIA MEADOWS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA MEADOWS LLC
Authorized official
MRS. TRACY ROGERS LMHC, LPC (CEO)
(941) 391-7261
Entity
Organization
Contact information
Practice address
1750 HALLS CREEK RD, WAVERLY, TN 37185-3718
(941) 391-7261
Mailing address
1750 HALLS CREEK RD, WAVERLY, TN 37185-3718
(941) 391-7261
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
07/28/2023
Last updated
09/09/2026
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