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MAGNOLIA MENTAL HEALTH AND WELLNESS LLC
NPI 1699557116
Nurse Practitioner - Psychiatric/Mental Health in Cookeville, TN

Active since October 18, 2023
420 S LOWE AVE STE 20, COOKEVILLE, TN 38501(931) 239-4039 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Mental Health And Wellness Llc NPPES

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

MAGNOLIA MENTAL HEALTH AND WELLNESS LLC (NPI 1699557116) is a healthcare organization registered as a psychiatric/mental health in Cookeville, Tennessee and active in the NPI registry since October 2023. The organization lists Vickie Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1699557116
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMAGNOLIA MENTAL HEALTH AND WELLNESS LLC
Location Address420 S LOWE AVE STE 20Cookeville, TN 38501-4718
Mailing Address642 Tommy Dodson HwyCookeville, TN 38506-9023
Phone(931) 239-4039
Organization SubpartNo
Authorized OfficialVickie BrownOwner · (931) 239-4039
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1699557116 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
420 S LOWE AVE STE 20, Cookeville, TN 38501
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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

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 44D2308812

Magnolia Mental Health And Wellness LLC · Cookeville, TN
Expired · Aug 4, 2026
CLIA Number44D2308812
Laboratory TypePractitioner Other
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorVickie D. Brown
Laboratory Phone(931) 859-0515
Laboratory LocationMagnolia Mental Health And Wellness LLC420 S Lowe Ave, Suite 20, Cookeville, TN 38501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 LLC's NPI number?

The NPI number for Magnolia Mental Health And Wellness LLC is 1699557116. It was assigned to this organization in the NPPES registry on October 18, 2023.

Where is Magnolia Mental Health And Wellness LLC located?

Magnolia Mental Health And Wellness LLC is located at 420 S Lowe Ave Ste 20, Cookeville, TN 38501. The listed phone number is (931) 239-4039.

What is Magnolia Mental Health And Wellness LLC'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 LLC was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.