Organization Active NPI

Magnolia Therapy Group, LLC

  • Counselor
  • Baton Rouge, LA
National Provider Identifier
1033936331
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MAGNOLIA THERAPY GROUP, LLC
Practice address
2924 Brakley Dr Ste B6
Baton Rouge, LA 70816-2333
Phone
(225) 605-3065
Fax
(225) 605-3065
NPI assigned
Sep 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ashley Ernst Blackwell, LPCNPI 1487015137
Title
Owner
Phone
(225) 605-3065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2924 Brakley Dr Ste B6
Baton Rouge, LA 70816-2333

Mailing address

2924 Brakley Dr Ste B6
Baton Rouge, LA 70816-2333
Phone (225) 605-3065

National Provider Directory

National Provider Directory

Locations

2924 Brakley Dr
Ste B6
Baton Rouge, LA 70816
Phone (225) 605-3065

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1033936331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 BRAKLEY DR STE B6",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162333",
            "telephone_number": "225-605-3065",
            "fax_number": "225-605-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 BRAKLEY DR STE B6",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162333",
            "telephone_number": "225-605-3065",
            "fax_number": "225-605-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ERNST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-605-3065",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.