MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC
NPI 1366380248
Nurse Practitioner - Psychiatric/Mental Health in Gulfport, MS

Q: What is Magnolia Mental Health And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 23, 2026

549 E PASS RD, GULFPORT, MS 39507(228) 338-6853(228) 333-0682 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Magnolia Mental Health And Wellness Pllc NPPES

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

MAGNOLIA MENTAL HEALTH AND WELLNESS PLLC (NPI 1366380248) is a healthcare organization registered as a psychiatric/mental health in Gulfport, Mississippi and active in the NPI registry since March 2026. The organization maintains a secondary practice location in Biloxi and lists Charlotte Aeger Ross, Owner, as its authorized official.

NPPES Registry Identity

NPI1366380248

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMAGNOLIA MENTAL HEALTH AND WELLNESS PLLC

Location Address549 E PASS RDGulfport, MS 39507-3261

Mailing Address1110 Cowan Rd Ste B, #202Gulfport, MS 39507-3441 · (228) 338-6853 · Fax (228) 333-0682

Phone(228) 338-6853

Fax(228) 333-0682

Organization SubpartNo

Authorized OfficialCharlotte Aeger RossOwner · (228) 338-6853

Enumeration DateMarch 23, 2026

NPPES CertifiedMarch 23, 2026

✔ NPI 1366380248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

549 E PASS RD, Gulfport, MS 39507

Open in Google Maps ↗

Secondary Practice Location 1

Location 1180 Debuys RdBiloxi, MS 39531-4402 · Phone (228) 388-0600

Group Practice 1

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

Other Providers at the Same Location NPPES 2

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

MR. JERRY PAUL BOUDREAUX L C S W

Social Worker (Clinical)

549 E PASS RD, SUITE P
GULFPORT, MS 39507

Harrison County (228) 896-9251

MRS. CHARLOTTE MARIE AEGER ROSS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

549 E PASS RD
GULFPORT, MS 39507

Harrison County (228) 338-6853

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 Mental Health And Wellness PLLC's NPI number?

The NPI number for Magnolia Mental Health And Wellness PLLC is 1366380248. It was assigned to this organization in the NPPES registry on March 23, 2026.

Where is Magnolia Mental Health And Wellness PLLC located?

Magnolia Mental Health And Wellness PLLC is located at 549 E Pass Rd, Gulfport, MS 39507. The listed phone number is (228) 338-6853.

What is Magnolia Mental Health And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Magnolia Mental Health And Wellness PLLC was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.