Organization
MAGNOLIA WELLNESS & PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMYRA EDWARDS PSY.D. (OWNER/CLINICAL DIRECTOR)
(404) 436-2368
Entity
Organization
Contact information
Practice address
440 S PERRY ST STE 202, LAWRENCEVILLE, GA 30046-4873
(404) 436-2368
Mailing address
306 EXCHANGE BLVD., STE. 400, PMB 234, BETHLEHEM, GA 30620
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/09/2022
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