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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
00222568 | GA | Ambulatory Health Care Facilities |
Street Address |
3350 NORTHLAKE PKWY NE SUITE B |
City | ATLANTA |
State | GA |
Zip Code | 30345-2204 |
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 |
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 |
Find all providers in zip 30345 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
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 |
Find all providers in ATLANTA |
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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.