Active NPI
Magnolia Way Counseling and Assessments, LLC
- Professional Counselor
- Greenbrier, AR
National Provider Identifier
1396477824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MAGNOLIA WAY COUNSELING AND ASSESSMENTS, LLC
- Practice address
- 287 S Broadview St Ste C-2
Greenbrier, AR 72058-9233 - Phone
- (501) 575-0510
- Fax
- (501) 575-0550
- NPI assigned
- Jun 24, 2022
- Last updated
- Jun 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tia Kaye Morris, LPC
- Title
- Owner/Clinician
- Phone
- (501) 438-1515
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
287 S Broadview St Ste C-2
Greenbrier, AR 72058-9233
Mailing address
PO Box 783
Greenbrier, AR 72058-0783
Phone (501) 575-0510
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656028800000",
"number": "1396477824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783",
"city": "GREENBRIER",
"state": "AR",
"postal_code": "720580783",
"telephone_number": "501-575-0510",
"fax_number": "501-575-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 S BROADVIEW ST STE C-2",
"city": "GREENBRIER",
"state": "AR",
"postal_code": "720589233",
"telephone_number": "501-575-0510",
"fax_number": "501-575-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA WAY COUNSELING AND ASSESSMENTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "TIA",
"authorized_official_middle_name": "KAYE",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "501-438-1515",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbrier, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.