NPIMap

Organization Active NPI

Magnolia Mental Health LLC

  • Community/Behavioral Health Agency
  • Shreveport, LA
National Provider Identifier
1851891865
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2203783795 Issued in LA
Legal business name
MAGNOLIA MENTAL HEALTH LLC
Practice address
7629 Pines Rd
Shreveport, LA 71129-3905
Phone
(318) 626-5991
NPI assigned
Feb 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Mrs. Shanell Taylor, RN
Title
Owner
Phone
(318) 791-7872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2203783795 LA Primary

Addresses

Primary practice location

7629 Pines Rd
Shreveport, LA 71129-3905

Mailing address

7629 Pines Rd
Shreveport, LA 71129-3905

National Provider Directory

National Provider Directory

Locations

7629 Pines Rd
Shreveport, LA 71129
Phone (318) 626-5991

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1851891865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293905",
            "telephone_number": "318-626-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-791-7872",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "2203783795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.