MAGNOLIA CENTER, PLLC (NPI# 1528678752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528678752 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA CENTER, PLLC |
| Practice Address |
1400 Old Mill Cir Ste B Winston Salem NC 27103-2977 |
| Practice Telephone | 3364079548 |
| Practice Fax Number | 3369952579 |
| Mailing Telephone | 3364079548 |
| Mailing Fax Number | 3369952579 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MS. SALLY JANE THORNTON (OWNER, PSYCHOLOGIST) |
| Authorized Official Telephone | 3364079548 |
| Authorized Official Credential | LPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Magnolia Center For Counseling and Eating Recovery, PLLC | Doing Business As Name - Organization |
| Street Address |
1400 OLD MILL CIR STE B |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659684207 | Bonita Mckoy | Social Worker | 1400 Old Mill Cir Ste B, Winston Salem, NC 27103-2977 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538641485 | Salem Counseling & Consulting, Pllc | Clinic/Center | 469 Shady Grove Ct, Winston Salem, NC 27103-5540 | 2018-09-06 |
| 1851609085 | Mid-state Health Systems, Inc | Clinic/Center | 2908 Reynolda Rd, Winston Salem, NC 27106-3016 | 2010-09-22 |
| 1134350812 | 4-ever Change Services, Inc. | Clinic/Center | 5033 University Pkwy, Winston Salem, NC 27106-6083 | 2009-07-29 |
| 1720099385 | Psycare of The Triad, LLP | Clinic/Center | 661 Hartman St, Winston Salem, NC 27127-7126 | 2006-08-10 |
| 1386254662 | Erin Bonsall, Pllc | Clinic/Center | 2910 Briarcliffe Rd, Winston Salem, NC 27106-3176 | 2020-08-03 |
| 1770023038 | Magnolia Center for Counseling and Eating Recovery | Clinic/Center | 1400 Old Mill Cir, Suite B, Winston Salem, NC 27103-2977 | 2017-03-06 |
| 1770895229 | Noa Human Services LLC | Clinic/Center | 4420 Edrem Ave, Winston Salem, NC 27101-2108 | 2010-07-12 |
| 1679741383 | Partnership for A Drug Free Nc Inc | Clinic/Center | 665 W 4th St, Winston Salem, NC 27101-2701 | 2008-02-15 |
| 1366534869 | New Directions - Treatment Center for Anxiety and Depression | Clinic/Center | 2990 Bethesda Pl, Suite 602-b, Winston Salem, NC 27103-3318 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455991 | Buckeye Psychology Pllc | Clinic/Center | 1310 Fenwick Pkwy, Durham, NC 27713-5829 | 2020-10-26 |
| 1861090987 | Genesis Mind Care | Clinic/Center | 2020 New Garden Rd Ste D, Greensboro, NC 27410-2488 | 2020-10-12 |
| 1538767785 | Season of Change, Pllc | Clinic/Center | 933 Louise Ave # 407, Charlotte, NC 28204-2147 | 2020-10-10 |
| 1164038782 | B&g Counseling Services Pllc | Clinic/Center | 11220 Elm Ln Ste 200, Charlotte, NC 28277-0450 | 2020-09-18 |
| 1497360655 | Beyond Listening Pllc | Clinic/Center | 301 S Main St Ste 135, Salisbury, NC 28144-4900 | 2020-09-14 |
| 1053925727 | Assured Community Services, LLC | Clinic/Center | 19506 Waverunner Ln Apt 202, Cornelius, NC 28031-6475 | 2020-09-01 |
| 1477166197 | Compass Counseling and Consulting LLC | Clinic/Center | 8411 Habersham Pointe Cir, Charlotte, NC 28226-4792 | 2020-08-24 |
| 1710503784 | Inner Banks Counseling Inc. | Clinic/Center | 305 Pine Ln, Washington, NC 27889-9674 | 2020-06-24 |
| 1942826987 | Jpn Consultants | Clinic/Center | 43 Duchess Ave, Franklinton, NC 27525-8447 | 2020-06-24 |
| 1730704388 | Hidden Treasures Counseling Services | Clinic/Center | 2589 E Main St # 2, Lincolnton, NC 28092-4149 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.