# MAGNOLIA COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922435593
- **Authorized official:** ANNA DAVENPORT LMFT (LICENSED MARITAL & FAMILY THERAPIST)
- **Authorized official phone:** (860) 668-1444

## Contact information

- **Practice address:** 11 HIGH ST STE 202, SUFFIELD, CT 06078-2125
- **Practice address phone:** (860) 668-1444
- **Practice address fax:** (860) 668-1446
- **Mailing address:** 11 HIGH ST STE 202, SUFFIELD, CT 06078-2125
- **Mailing address phone:** (860) 668-1444
- **Mailing address fax:** (860) 668-1446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 000724 | CT | Yes |

## Other

- **Enumeration date:** 09/27/2013
- **Last updated:** 12/16/2023