Magnolia Branch Counseling Center, Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

23729 Issued in CA

Legal business name

MAGNOLIA BRANCH COUNSELING CENTER, INCORPORATED

Practice address

8421 Auburn Blvd
110
Citrus Heights, CA 95610-0359

Phone

(916) 524-2051

NPI assigned

Feb 8, 2015

Organization subpart

No

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

Authorized official

Name

Denise Moore, LCSWNPI 1467464610

Title

Ceo

Phone

(916) 524-2051

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.

• Denise Moore, LCSW

  • Clinical Social Worker
  • Elk Grove, CA
  • NPI 1467464610
  NPD (past) Authorized official

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

{
    "created_epoch": "1423353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423353600000",
    "number": "1841681251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 AUBURN BLVD",
            "address_2": "110",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100359",
            "telephone_number": "916-524-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 AUBURN BLVD",
            "address_2": "110",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100359",
            "telephone_number": "916-524-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA BRANCH COUNSELING CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-08",
        "last_updated": "2015-02-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-524-2051",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "23729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Leah Maclean, RD
• Diana T Macneill, MFTI
• Madison Calee Madeira
• Lauren Maes
• Magnificent Home Health Services LLC
• Mahaloha Care LLC
• Karista Mahoney
• Thomas M Mahoney, M.D.
• Carol A Mahr, M.S.
• Nakia Nehea'Lani Makalena

• Community/Behavioral Health Agency in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2015; 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.