Magnolia Family Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MAGNOLIA FAMILY COUNSELING LLC

Practice address

241 Franklin Dr
Bridgeport, WV 26330-6934

Phone

(304) 203-1519

NPI assigned

Apr 26, 2021

Last updated

Apr 26, 2021By 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

Melissa Lowther

Title

Owner

Phone

(304) 203-1519

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1710569074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 E PARK AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544115",
            "telephone_number": "304-203-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 FRANKLIN DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263306934",
            "telephone_number": "304-203-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "LOWTHER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-203-1519"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert White Lynn IV, DO
• Laco Lane Mace II, M.D.
• Jeffrey W. Madden, M.D.
• Alicia Erin Maddix, MD
• Lee Alexander Madruga, MD
• Huma Mahmoud
• Jeffrey Majewski, MSW, LICSW
• James E Malone, D.O.
• Manchin Clinic of Bridgeport
• Daniel Mandel, MD

• Professional Counselor in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.