Magnolia Counseling and Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

009211 Issued in GA

Legal business name

MAGNOLIA COUNSELING AND WELLNESS

Practice address

124 S Main St Ste 2G
Jonesboro, GA 30236-3502

Phone

(470) 629-3380

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Felita Delores Bush, M.EDNPI 1497207450

Title

LPC

Phone

(470) 629-3380

Specialties & licenses 2

Addresses

Practitioners 1

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

• Felita Bush, LPC

  • Professional Counselor
  • Jonesboro, GA
  • NPI 1497207450
  NPD (past) Authorized official

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1053853515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST STE 2G",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363502",
            "telephone_number": "470-629-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST STE 2G",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363502",
            "telephone_number": "470-629-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "FELITA",
        "authorized_official_middle_name": "DELORES",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "470-629-3380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "009211",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN076947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia M Mack, PCA
• Emily Jo Anderson Mackillop, PH.D.
• Brooks Wells Maddox III, DMD
• Abelardo B Magat, MD
• Dewayne Alvin Magee Sr.
• Celestine O Maiki, MD
• Jerome A Maislis, PA-C
• Charles F Major Jr., D.M.D.
• Sylvester B Malcom, D.D.S.
• Mercy B Manga, NP-C

• Professional Counselor in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.