Magnolia Counseling and Wellness, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAGNOLIA COUNSELING AND WELLNESS, PLLC

Practice address

4010 Oleander Dr
Wilmington, NC 28403-6841

Phone

(910) 297-6027

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Petrina Goodwin, LCSW

Title

Owner, Therapist

Phone

(910) 297-6027

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1346941499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 WYCK FARM WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284056108",
            "telephone_number": "910-297-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036841",
            "telephone_number": "910-297-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PETRINA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "910-297-6027",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Madsen, DMD
• Daniel J. Maggio, D.C.
• William Seth Magin, M.D.
• Anthony Maglione, M.D.
• Mindy R Maglione, NP
• Magnolia Family Medicine PC
• Magnolia Wellness Group, PC
• Michelle Maguire, MSW LCSW
• Patrick David Maguire, M.D.
• Melissa Maillard

• All providers in Wilmington, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.