Magnolia Springs Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAGNOLIA SPRINGS COUNSELING, LLC

Practice address

1726 Kingsley Ave Ste 4
Orange Park, FL 32073-4411

Phone

(904) 474-1477

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Carolyn Renee Hunter, LCSWNPI 1821438045

Title

Manager / Owner / LCSW

Phone

(904) 400-2345

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn Renee Hunter, ISW

  • Clinical Social Worker
  • Middleburg, FL
  • NPI 1821438045
  NPD Authorized official

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1750966362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 US HIGHWAY 17 STE 18",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038250",
            "telephone_number": "904-400-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 KINGSLEY AVE STE 4",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734411",
            "telephone_number": "904-474-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SPRINGS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MANAGER / OWNER / LCSW",
        "authorized_official_telephone_number": "904-400-2345",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinesh Madhok, M.D.
• Ishaan Kambo Madhok
• Khaled R Magdy, M.D.
• Reuben Kyle Maggard, M.D.
• Magnolia Care Services LLC
• Jacob Mahan
• Sterling Mahan, H.A.S.
• Ibrahim Magdi Gafar Mahgoub, MD
• Tiffany N Major, APRN
• Yan G Makeyev, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.