Organization
MAGNOLIA RECOVERY, LLC
Active
Parent organization
MAGNOLIA RECOVERY , LLC
Other names
Magnolia Recovery, Magnolia Recovery Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGNOLIA RECOVERY , LLC
Authorized official
AMANDA VEULEMAN (OPERATIONS DIRECTOR)
(318) 615-9006
Entity
Organization
Contact information
Practice address
3605 YOUREE DR, SHREVEPORT, LA 71105-2121
(318) 615-9006
Mailing address
3605 YOUREE DR, SHREVEPORT, LA 71105-2121
(318) 615-9006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
05/22/2023
Last updated
04/18/2024
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