Magnolia Behavioral Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MAGNOLIA BEHAVIORAL THERAPY, LLC

Practice address

3501 5TH Ave Ste C1
Lake Charles, LA 70607-2155

Phone

(337) 419-0086

NPI assigned

Mar 9, 2023

Organization subpart

No

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

Authorized official

Name

Megan MussoNPI 1649682493

Title

Manager

Phone

(337) 912-9006

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Megan Smith Musso, CCC-SLP

  • Speech-Language Pathologist
  • Lake Charles, LA
  • NPI 1649682493
  NPD Authorized official

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1396445037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HENRIETTA LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 5TH AVE STE C1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706072155",
            "telephone_number": "337-419-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA BEHAVIORAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "MUSSO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-912-9006"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Soileau Maddox, LPC
• Madison Claudel DDS, LLC (Claudel Family Dentistry)
• Maeberry Transportation & More LLC
• Bruce Maerhofer, D.C.
• Lindsey A Maggio, APRN- CNP
• Magnolia Medical Resources Inc
• Magnolia Pediatric Therapy, LLC
• Angelica Maheia, DDS
• Tashfeen Mahmood, M.D.
• Brandi A Malbrew, COTA

• Behavior Analyst in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.