Magnolia Family Support & Interventions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAGNOLIA FAMILY SUPPORT & INTERVENTIONS, LLC

Practice address

809 College St
Shreveport, LA 71104-2113

Phone

(318) 675-1112

Fax

(866) 307-9980

NPI assigned

May 12, 2016

Last updated

May 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shatorya Nash

Title

Director

Phone

(318) 675-1112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1588010193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 COLLEGE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042113",
            "telephone_number": "318-675-1112",
            "fax_number": "866-307-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 COLLEGE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042113",
            "telephone_number": "318-675-1112",
            "fax_number": "866-307-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY SUPPORT & INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "SHATORYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-675-1112"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Community Mental Health Facility Inc.
• Magnolia Comprehensive Outpatient Rehabiliation Facility Inc.
• Magnolia Diagnostic Services Inc.
• Magnolia Diagonstic Services Inc.
• Magnolia Durable Medical Equipment Inc.
• Magnolia Intergrated Healthcare Services Inc
• Magnolia Manor Nursing & Rehab CNTR LLC (Magnolia Manor Nursing & Rehabilitation Center)
• Magnolia Medical Internal Medicine Inc
• Magnolia Medical LLC
• Magnolia Mental Health LLC

• Community/Behavioral Health Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.