MAGNOLIA PSYCHIATRY AND MENTAL WELLNESS - NPI 1245013770 - Prevention Professional in Fuquay Varina, NC

Q: What is Magnolia Behavioral Health, PLLC's NPI number?

The NPI number for Magnolia Behavioral Health, PLLC is 1245013770. It was assigned to this organization in the NPPES registry on August 17, 2023. The provider is doing business as Magnolia Psychiatry And Mental Wellness.

Q: What is Magnolia Behavioral Health, PLLC's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

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About Magnolia Psychiatry And Mental Wellness NPPES

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

MAGNOLIA PSYCHIATRY AND MENTAL WELLNESS (NPI 1245013770) is a healthcare organization registered as a prevention professional in Fuquay Varina, North Carolina and active in the NPI registry since August 2023. The organization lists Jacqueline Wenzel, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1245013770

Entity TypeOrganization

Primary Taxonomy405300000X

Legal Business NameMAGNOLIA BEHAVIORAL HEALTH, PLLC

Location Address602 E ACADEMY ST STE 205Fuquay Varina, NC 27526-2382

Mailing Address602 E Academy St Ste 205Fuquay Varina, NC 27526-2382 · (919) 635-6202 · Fax (919) 289-1713

Phone(919) 635-6202

Fax(919) 289-1713

Organization SubpartNo

Authorized OfficialJacqueline WenzelCeo/owner · (919) 961-1948

Enumeration DateAugust 17, 2023

Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration

NPPES CertifiedMarch 8, 2024

✔ NPI 1245013770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPrevention ProfessionalOther Service Providers

Taxonomy Code405300000X

Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedSpecialistTaxonomy 174400000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

602 E ACADEMY ST STE 205, Fuquay Varina, NC 27526

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Other Names 1

Doing Business AsMagnolia Psychiatry And Mental Wellness

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 5

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

MRS. DIANA KIM HOUSTON PMHNP

Nurse Practitioner (Psychiatric/Mental Health)