Organization
MAGNOLIA COUNSELING LLC
Active
Other names
Magnolia Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY SHIELD-RICE LCSW (OWNER)
(702) 704-5615
Entity
Organization
Contact information
Practice address
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3977
(702) 475-9751
Mailing address
314 NEW RIVER CIR, HENDERSON, NV 89052-2367
(702) 704-5615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2019
Last updated
05/22/2019
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