Magnolia Psychological Services LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

MAGNOLIA PSYCHOLOGICAL SERVICES LLC

Practice address

1124 Park West Blvd Ste 202
Mt Pleasant, SC 29466-7158

Phone

(843) 284-6389

NPI assigned

May 3, 2019

Organization subpart

No

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

Authorized official

Name

Kelly Rabenstein Donohoe, PSYD

Title

Owner

Phone

(843) 284-6389

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kelly P Rabenstein, PSYD

  • Counseling Psychologist
  • Charleston, SC
  • NPI 1679051726
  NPD

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1629633870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 PARK WEST BLVD STE 202",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667158",
            "telephone_number": "843-284-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 PARK WEST BLVD STE 202",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667158",
            "telephone_number": "843-284-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DONOHOE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "RABENSTEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-284-6389",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1541",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Made 2 Move Physical Therapy of Mount Pleasant, LLC
• Madison Culler, D.M.D., P.a.
• Leslie Nichole Mady, LISW-CP
• Magnolia Counseling of Charleston
• Magnolia Psychiatry LLC
• Melissa Clark Mahnken, RN, MSN
• Katherine Mai, LISW-CP
• Elizabeth Irene Majeski, MD
• James Bradley Majors, OD
• Margaret Malarney

• Counseling Psychologist in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Counseling Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.