Magnolia Wellness & Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MAGNOLIA WELLNESS & PSYCHOLOGY, LLC

Practice address

440 S Perry St Ste 202
Lawrenceville, GA 30046-4873

Phone

(404) 436-2368

NPI assigned

Jun 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tamyra Edwards, PSY.D.NPI 1235729633

Title

Owner/Clinical Director

Phone

(404) 436-2368

Specialties & licenses 2

Addresses

Locations

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
  NPD Authorized official

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1740919711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 EXCHANGE BLVD.",
            "address_2": "STE. 400, PMB 234",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "30620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S PERRY ST STE 202",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464873",
            "telephone_number": "404-436-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA WELLNESS & PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TAMYRA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-436-2368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Jun 9, 2022; 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.