Organization
MAGNOLIA MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE BROWN PMHNP (OWNER)
(931) 239-4039
Entity
Organization
Contact information
Practice address
420 S LOWE AVE STE 20, COOKEVILLE, TN 38501-4718
(931) 239-4039
Mailing address
642 TOMMY DODSON HWY, COOKEVILLE, TN 38506-9023
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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