Organization
MAGNOLIA HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAQUIA MAULTSBY FNP (OWNER/PRACTITIONER)
(252) 320-9081
Entity
Organization
Contact information
Practice address
211 COMMERCE ST STE C, GREENVILLE, NC 27858-5030
(252) 320-9081
Mailing address
211 COMMERCE ST STE C, GREENVILLE, NC 27858-5030
(252) 320-9081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163W00000X
Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/09/2020
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