Southern Magnolia Therapeutic Solutions

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTHERN MAGNOLIA THERAPEUTIC SOLUTIONS

Practice address

4347 S Hampton Rd # 243
Dallas, TX 75232-1065

Phone

(214) 289-0456

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Kendra Williams, BSWNPI 1528938446

Title

Owner/Chef Exective Officer

Phone

(214) 289-0456

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Kendra Williams

  • Social Worker
  • Dallas, TX
  • NPI 1528938446

  Counselor

  NPD Authorized official
• Tricia Davis, LCSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1447561394
  Medicare reassignment

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1184484032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763773",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753763773",
            "telephone_number": "214-289-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 S HAMPTON RD # 243",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321065",
            "telephone_number": "214-289-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAGNOLIA THERAPEUTIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER/CHEF EXECTIVE OFFICER",
        "authorized_official_telephone_number": "214-289-0456",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Methodist University (SMU Athletics)
• Southern Methodist University (Smu Health Center Pharmacy)
• Southern Neuro Rehab Institiute, PLLC (Southern Neuro Rehab Institiute)
• Southern Sector Health Initiative
• Southern Spine Institute PLLC

• Case Management Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.