# MAGNOLIA MEADOWS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MAGNOLIA MEADOWS LLC
- **Other names:** MAGNOLIA MEADOWS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487335857
- **Legal business name:** MAGNOLIA MEADOWS LLC
- **Authorized official:** MRS. TRACY ROGERS LMHC, LPC (CEO)
- **Authorized official phone:** (941) 391-7261

## Contact information

- **Practice address:** 1750 HALLS CREEK RD, WAVERLY, TN 37185-3718
- **Practice address phone:** (941) 391-7261
- **Mailing address:** 1750 HALLS CREEK RD, WAVERLY, TN 37185-3718
- **Mailing address phone:** (941) 391-7261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 07/28/2023
- **Last updated:** 09/09/2026