Magnolia Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002923 Issued in CT

Legal business name

MAGNOLIA WELLNESS, LLC

Practice address

302 State St
Suite 201
New London, CT 06320-2310

Phone

(860) 439-1300

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Gizelle E Tircuit-Posey, LPC

Title

Owner

Phone

(860) 439-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Gizelle Tircuit, LPC

  • Professional Counselor
  • New London, CT
  • NPI 1881040517
  NPD (past)

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1760913347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 STATE ST",
            "address_2": "SUITE 201",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-439-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 STATE ST",
            "address_2": "SUITE 201",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202310",
            "telephone_number": "860-439-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "TIRCUIT-POSEY",
        "authorized_official_first_name": "GIZELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-439-1300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBHP007958",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Macdonald, RN
• Bonnie Suzanne Mackenzie, MD
• Sage Anne Macleod, CNM
• Dejaunie Madourie
• John Edward Madsen, M.D.
• Ashok K Maheshwari, MD
• John Francis Mainella, PTA
• Jessie Makela, BA
• Nisha Malhotra, MD
• Mohsin Kamal Malik, MD

• Professional Counselor in New London, CT
• Providers in New London, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.