Magnolia Therapeutic Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAGNOLIA THERAPEUTIC SOLUTIONS

Practice address

1630 Falcon Dr
Suite 104
Desoto, TX 75115-2416

Phone

(281) 630-2328

NPI assigned

Apr 28, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Shakeithdra Rashae Lee, RN

Title

RN - Case Manager

Phone

(281) 630-2328

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Therapeutic Services Doing business as

Locations

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1578098406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 FALCON DR",
            "address_2": "SUITE 104",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152416",
            "telephone_number": "281-630-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 FALCON DR",
            "address_2": "SUITE 104",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152416",
            "telephone_number": "281-630-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA THERAPEUTIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHAKEITHDRA",
        "authorized_official_middle_name": "RASHAE",
        "authorized_official_title_or_position": "RN - CASE MANAGER",
        "authorized_official_telephone_number": "281-630-2328",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Desoto, TX
• Providers in Desoto, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.