Magnolia Counseling LLC
Organization Active NPI Clinical Social Worker · Hernando, MS
NPI 1831996404 · NPPES record last updated Feb 28, 2025
Key facts
- NPI
- 1831996404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- MAGNOLIA COUNSELING LLC
- Practice address
- 2446 Caffey St Ste 2a
Hernando, MS 38632-1710 - Phone
- (662) 863-4628
- NPI assigned
- Feb 28, 2025
- Organization subpart
- No
Authorized official
- Name
- Julie Ferguson, LCSW
- Title
- Owner
- Phone
- (662) 863-4628
Practitioners 2
-
Julie Holden Ferguson, LCSW
-
Laurie Bankston, M.ED.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250425000722 | MS | Part B Supplier - Clinic/Group Practice | 7517483225 |
Receives reassigned benefits from 1 practitioner Practice locations: Hernando, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
2446 Caffey St Ste 2a
Hernando, MS 38632-1710
Mailing address
2446 Caffey St Ste 2a
Hernando, MS 38632-1710
Phone (662) 863-4628
Other providers in Hernando, MS
- Marcella A Lewis
- Cynthia S Ligon
- Belinda Lunford
- Lindsay Dell Lynchard
- Michael George Lyons
- Victoria Mansfield
- John Walter Manuel
- Gia Matheny
- Lindsey S McCormick
- Kayla Ann McCoy
All providers in Hernando, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.