Organization
BLACK MAGNOLIA COUNSELING SERVICES PLLC
Active
Organization
BLACK MAGNOLIA COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE WILLMS LINDERMAN LCSW (OWNER)
(727) 349-4926
Entity
Organization
Contact information
Practice address
10400 MALLARD CREEK RD STE 250, CHARLOTTE, NC 28262-5202
(727) 349-4926
(727) 498-2489
Mailing address
10400 MALLARD CREEK RD STE 250, CHARLOTTE, NC 28262-5202
(727) 349-4926
(727) 498-2489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
03/31/2025
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