Magnolia Center, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAGNOLIA CENTER, PLLC

Practice address

1400 Old Mill Cir Ste B
Winston Salem, NC 27103-2977

Phone

(336) 407-9548

Fax

(336) 995-2579

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Sally Jane Thornton, LPA

Title

Owner, Psychologist

Phone

(336) 407-9548

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Center For Counseling and Eating Recovery, PLLC Doing business as

Locations

Practitioners 1

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

• Sally Jane Manner, LPA

  • Psychologist
  • Winston-Salem, NC
  • NPI 1053376400
  NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1528678752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD MILL CIR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032977",
            "telephone_number": "336-407-9548",
            "fax_number": "336-995-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD MILL CIR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032977",
            "telephone_number": "336-407-9548",
            "fax_number": "336-995-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "336-407-9548",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Center For Counseling and Eating Recovery, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dillon James Magalski, MD
• Matthew Christopher Ellis Magee
• Mackenzie Magid, PHARMD
• Alexander Nathanial Magidson
• Magnolia Center for Counseling and Eating Recovery
• Megan Lee Maguire, PA
• Autumn Dale Mahaffey, CRNA
• Niyati Mahajan, MD
• Justine Maher, PHARMD
• Simon A Mahler, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.