Organization
MAGNOLIA MEADOWS LLC
Active
Other names
MAGNOLIA MEADOWS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE MAZZA LPC (CEO)
(615) 618-2243
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)
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/28/2023
Last updated
03/12/2026
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