Organization
MAGNOLIA WELLNESS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMYRA CROSSLEY PSY.D. (CLINICAL DIRECTOR)
(678) 679-6155
Entity
Organization
Contact information
Practice address
823 VILLA RIDGE PKWY, LAWRENCEVILLE, GA 30044-2314
(773) 412-0694
Mailing address
823 VILLA RIDGE PKWY, LAWRENCEVILLE, GA 30044-2314
(773) 412-0694
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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