Magnolia Behavioral Health Services PLLC
Nurse Practitioner, Psych/Mental Health in Randolph, Massachusetts
1235995648- Practice location
- 247 N Main St Ste 13, Randolph, MA 02368-4172
- Phone
- 617-435-4633
- Fax
- —
- Last updated
- June 20, 2024
Magnolia Behavioral Health Services PLLC is a healthcare organization based in Randolph, MA. Magnolia Behavioral Health Services PLLC practices in Randolph, MA. The NPI Number for Magnolia Behavioral Health Services PLLC is 1235995648. The current practice location address for Magnolia Behavioral Health Services PLLC is 247 N Main St Ste 13, Randolph, MA 02368-4172 and can be reached out via phone at 617-435-4633.
Provider Profile Details
- NPI Number
- 1235995648
- Provider Name
- Magnolia Behavioral Health Services PLLC
- Provider Entity Type
- Organization
- Address
- 247 N Main St Ste 13, Randolph, MA 02368-4172
- Phone Number
- 617-435-4633
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Nirva Lafontant · Owner · 617-435-4633
- Provider Enumeration Date
- February 23, 2024
- Last Update Date
- June 20, 2024
- Certification Date
- June 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 247 N Main St Ste 13
Randolph, MA 02368-4172 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-4172
- Phone Number
- 617-435-4633
Provider Business Mailing Address Details
- Address
- 247 N Main St Ste 13
Randolph, MA 02368-4172 - City
- Randolph
- State
- MA
- Zip
- 02368-4172
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Magnolia Behavioral Health Services PLLC?
The NPI number of Magnolia Behavioral Health Services PLLC is 1235995648. It was assigned on February 23, 2024 and is currently active in the NPPES registry.
What is the specialty of Magnolia Behavioral Health Services PLLC?
Magnolia Behavioral Health Services PLLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Magnolia Behavioral Health Services PLLC practice?
The practice location is 247 N Main St Ste 13, Randolph, MA 02368-4172. The office can be reached at 617-435-4633 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235995648 directly on the NPPES registry website.