Magnolia Counseling of Charleston

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

6113 Issued in SC

Legal business name

MAGNOLIA COUNSELING OF CHARLESTON

Practice address

860 Lowcountry Blvd
Suite B
Mt Pleasant, SC 29464-3091

Phone

(843) 281-6910

NPI assigned

Oct 13, 2015

Last updated

Oct 13, 2015By 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

Margaret Poandl

Title

Counselor

Phone

(703) 470-6655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1700257086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MAGNOLIA AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 LOWCOUNTRY BLVD",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643091",
            "telephone_number": "843-281-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COUNSELING OF CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "POANDL",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "703-470-6655"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "SC",
            "license": "6113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Maday, LISW-CP/AP
• Lauren Edewaard Madden, LPC-A
• Made 2 Move Physical Therapy of Mount Pleasant, LLC
• Madison Culler, D.M.D., P.a.
• Leslie Nichole Mady, LISW-CP
• Magnolia Psychiatry LLC
• Magnolia Psychological Services LLC
• Melissa Clark Mahnken, RN, MSN
• Katherine Mai, LISW-CP
• Elizabeth Irene Majeski, MD

• Community Health Worker in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Community Health Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.