MAGNOLIA HEALTH CLINIC


Address: 3350 Northlake Pkwy Ne, Suite B, Atlanta, GA 30345-2204
Phone: 7707248093

MAGNOLIA HEALTH CLINIC (NPI# 1487047049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487047049
Entity Type Organization
Organization Name MAGNOLIA HEALTH CLINIC
Practice Address 3350 Northlake Pkwy Ne
Suite B
Atlanta
GA 30345-2204
Practice Telephone 7707248093
Mailing Telephone 7707248093
Enumeration Date 2015-03-06
Last Update Date 2015-03-06
Authorized Official Name DR. MIRA IHEME (PRESIDENT)
Authorized Official Telephone 7707248093
Authorized Official Credential PH.D., LPC
Is Organization Subpart Y
Parent Organization Name MAGNOLIA BEHAVIORAL HEALTH, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
00222568 GA Ambulatory Health Care Facilities

Office Location

Street Address 3350 NORTHLAKE PKWY NE
SUITE B
City ATLANTA
State GA
Zip Code 30345-2204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588652176 Virginia Ovesen Felder Marriage & Family Therapist 3350 Northlake Pkwy Ne, Atlanta, GA 30345-2204 2005-10-09
1730426198 Magnolia Behavioral Health, Inc. Clinic/Center 3350 Northlake Pkwy Ne, Atlanta, GA 30345-2204 2013-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306358726 Marian Barton Kalvert Counselor 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 2017-10-25
1417478439 Reexist Counseling LLC Clinic/Center 1955 Vance Drive Ne, Atlanta, GA 30345 2017-06-29
1366862930 Creative Behavior Consulting Counselor 6212 Northlake Circle Ne, Atlanta, GA 30345 2014-04-22
1215375209 Shakeia Cowan Counselor 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 2013-06-12
1154673259 Phyllis Carrera Counselor 1788-b Century Blvd, Atlanta, GA 30345 2012-10-12
1417216128 Procare Pharmacy, LLC Pharmacy 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 2012-05-15
1962794479 Nicole Renee Buttery Behavioral Analyst 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 2011-05-03
1972839371 Barbara Lopes Cardozo Psychiatry & Neurology 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 2009-10-20
1568615193 Zouheir A Shama Sr. Surgery 2536 Cosmos Drive N.e., Atlanta, GA 30345 2008-10-28
1396930558 Munir Kashlan Dentist 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 2007-09-11
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1417593047 Integrative Medical Group and Medical Spa, Inc Clinic/Center 805 Lambert Dr Ne Ste C, Atlanta, GA 30324-4189 2019-11-19
1811486905 Atlanta Center of Women's Choice Clinic/Center 1874 Piedmont Ave Ne Ste 580e, Atlanta, GA 30324-4975 2018-05-04
1699282665 Healthy Children Pediatrics, LLC Clinic/Center 1448 Lucile Ave Sw, Atlanta, GA 30310-1217 2017-12-29
1205347424 Juliet Asher, Md, P.C. Clinic/Center 3193 Howell Mill Rd Nw Ste 104, Atlanta, GA 30327-2100 2017-10-15
1861870891 Intown Medicine Inc Clinic/Center 3200 Downwood Cir Nw Ste 680, Atlanta, GA 30327-1624 2015-05-11
1780083188 Amina Medical Consultants PC Clinic/Center 2840 Northeast Expy Ne, Suite#116, Atlanta, GA 30345-4214 2014-08-21
1902236656 Destiny Family Medical Center, LLC Clinic/Center 3654 Chattahoochee Summit Dr Se, Atlanta, GA 30339-3254 2013-11-16
1689017170 Clinica Medica Prenatal Inc Clinic/Center 4300 Buford Hwy Ne, Suite: 216, Atlanta, GA 30345-1003 2013-04-15
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Competitor

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City ATLANTA
Zip Code 30345

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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