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MAGNOLIA BEHAVIOR HEALTH CENTER LLC
NPI 1063376861
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since December 15, 2025CLIA 21D2344890 · Waiver
3455 WILKENS AVE STE 101, BALTIMORE, MD 21229(240) 919-6062 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Magnolia Behavior Health Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA BEHAVIOR HEALTH CENTER LLC (NPI 1063376861) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Julia Shirima, Provider, as its authorized official.

NPPES Registry Identity

NPI1063376861
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMAGNOLIA BEHAVIOR HEALTH CENTER LLC
Location Address3455 WILKENS AVE STE 101Baltimore, MD 21229-5204
Mailing Address3455 Wilkens Ave Ste 101Baltimore, MD 21229-5204 · (240) 919-6062
Phone(240) 919-6062
Organization SubpartNo
Authorized OfficialJulia ShirimaProvider · (240) 919-6062
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1063376861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

3455 WILKENS AVE STE 101, Baltimore, MD 21229
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2344890

Magnolia Behavior Health Center LLC · Baltimore, MD
Active · expires Jun 1, 2028
CLIA Number21D2344890
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorJuliet Numfor
Laboratory Phone(301) 662-8063
Laboratory LocationMagnolia Behavior Health Center LLC3455 Wilkens Avenue Suite 101, Baltimore, MD 21229
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAGNOLIA BEHAVIOR HEALTH CENTER LLC
Community/Behavioral Health
3455 WILKENS AVE STE 101
BALTIMORE, MD 21229
Baltimore City (240) 919-6062
MAGNOLIA BEHAVIOR HEALTH CENTER LLC
Clinic/Center (Rehabilitation)
3455 WILKENS AVE STE 101
BALTIMORE, MD 21229
Baltimore City (301) 473-0954
MAGNOLIA BEHAVIOR HEALTH CENTER LLC
Community/Behavioral Health
3455 WILKENS AVE STE 101
BALTIMORE, MD 21229
Baltimore City (240) 919-6062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Behavior Health Center LLC's NPI number?

The NPI number for Magnolia Behavior Health Center LLC is 1063376861. It was assigned to this organization in the NPPES registry on December 15, 2025.

Where is Magnolia Behavior Health Center LLC located?

Magnolia Behavior Health Center LLC is located at 3455 Wilkens Ave Ste 101, Baltimore, MD 21229. The listed phone number is (240) 919-6062.

What is Magnolia Behavior Health Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Magnolia Behavior Health Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2344890) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Behavior Health Center LLC was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.