Organization
MAGNOLIA COUNSELING CENTER & SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ELLEN ROBERTSON (OWNER)
(228) 382-3107
Entity
Organization
Contact information
Practice address
2130 GOVERNMENT ST STE A, OCEAN SPRINGS, MS 39564-3937
(228) 382-3107
(800) 854-0906
Mailing address
2130 GOVERNMENT ST STE A, OCEAN SPRINGS, MS 39564-3937
(228) 382-3107
(800) 854-0906
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/29/2017
Last updated
02/11/2020
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