Organization
SOUTHERN MAGNOLIA THERAPEUTIC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA WILLIAMS BSW (OWNER/CHEF EXECTIVE OFFICER)
(214) 289-0456
Entity
Organization
Contact information
Practice address
4347 S HAMPTON RD # 243, DALLAS, TX 75232-1065
(214) 289-0456
Mailing address
PO BOX 763773, DALLAS, TX 75376-3773
(214) 289-0456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/19/2024
Last updated
02/26/2026
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