Organization
MAGNOLIA FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA CULBERTSON MED, LPC, LAC, LPCS (OWNER)
(864) 710-4723
Entity
Organization
Contact information
Practice address
455 HIGHWAY 123 STE C, SENECA, SC 29678-0855
(864) 710-4723
(864) 752-1186
Mailing address
259 WINSTEAD RD, WEST UNION, SC 29696-3026
(864) 710-4723
(864) 752-1186
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3474
SC
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1794
—
SC
Enumeration date
05/26/2017
Last updated
12/02/2021
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