Organization
MAGNOLIA WELLNESS, LLC
Active
Other names
Magnolia Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LANDRY LCSW (MANAGER/OWNER)
(225) 245-5040
Entity
Organization
Contact information
Practice address
5689A COMMERCE STREET, ST. FRANCISVILLE, LA 70775
(225) 245-5040
Mailing address
PO BOX 2162, SAINT FRANCISVILLE, LA 70775-2162
(225) 718-9525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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