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THE MAGNOLIA CLINIC, LLC
NPI 1629731302
Marriage & Family Therapist in Fort Worth, TX

Active since October 19, 2021
1124 GALVESTON AVE STE B, FORT WORTH, TX 76104(817) 609-2289 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Magnolia Clinic, Llc NPPES

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

THE MAGNOLIA CLINIC, LLC (NPI 1629731302) is a healthcare organization registered as a marriage & family therapist in Fort Worth, Texas and active in the NPI registry since October 2021. The organization lists Jacob Wasonga, Owner, as its authorized official.

NPPES Registry Identity

NPI1629731302
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameTHE MAGNOLIA CLINIC, LLC
Location Address1124 GALVESTON AVE STE BFort Worth, TX 76104-4878
Mailing AddressPo Box 592732San Antonio, TX 78259-0186 · (817) 609-2289
Phone(817) 609-2289
Organization SubpartNo
Authorized OfficialJacob WasongaOwner · (817) 609-2289
Enumeration DateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1629731302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1124 GALVESTON AVE STE B, Fort Worth, TX 76104
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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

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

DR. JACOB O WASONGA PH.D, LMFT
Marriage & Family Therapist
1124 GALVESTON AVE STE B
FORT WORTH, TX 76104
Tarrant County (210) 420-8117

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 The Magnolia Clinic, LLC's NPI number?

The NPI number for The Magnolia Clinic, LLC is 1629731302. It was assigned to this organization in the NPPES registry on October 19, 2021.

Where is The Magnolia Clinic, LLC located?

The Magnolia Clinic, LLC is located at 1124 Galveston Ave Ste B, Fort Worth, TX 76104. The listed phone number is (817) 609-2289.

What is The Magnolia Clinic, LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for The Magnolia Clinic, LLC was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.