Magnolia Wellness Solutions LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MAGNOLIA WELLNESS SOLUTIONS LLC

Practice address

823 Villa Ridge Pkwy
Lawrenceville, GA 30044-2314

Phone

(773) 412-0694

NPI assigned

Nov 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Tamyra Crossley, PSY.D.

Title

Clinical Director

Phone

(678) 679-6155

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tamyra Edwards, PSYD

  • Psychologist
  • Roswell, GA
  • NPI 1235729633

  Clinical

  NPD

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1629670922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 VILLA RIDGE PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442314",
            "telephone_number": "773-412-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 VILLA RIDGE PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442314",
            "telephone_number": "773-412-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "CROSSLEY",
        "authorized_official_first_name": "TAMYRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "678-679-6155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venu M. Madhipatla, MD
• Madison Pinkney LLC
• Victorine Mafoueka Nguena, M.D
• Quatarsha S Magee
• Magnolia Wellness & Psychology, LLC
• Kris Magpantay, PA-C
• Aparna Reddy Mahakala, M.D.
• Pejman Mahdavi, LCSW
• Mohamed Mahfoud, MD
• Rashel Mahini

• Clinical Psychologist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinical Psychologist in Georgia

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