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MAGNOLIA WELLNESS & PSYCHOLOGY, LLC
NPI 1740919711
Psychologist - Clinical in Lawrenceville, GA

Active since June 06, 2022
440 S PERRY ST STE 202, LAWRENCEVILLE, GA 30046(404) 436-2368 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Magnolia Wellness & Psychology, Llc NPPES

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

MAGNOLIA WELLNESS & PSYCHOLOGY, LLC (NPI 1740919711) is a healthcare organization registered as a clinical in Lawrenceville, Georgia and active in the NPI registry since June 2022. The organization lists Tamyra Edwards, Owner/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1740919711
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMAGNOLIA WELLNESS & PSYCHOLOGY, LLC
Location Address440 S PERRY ST STE 202Lawrenceville, GA 30046-4873
Mailing Address306 Exchange Blvd., Ste. 400, Pmb 234Bethlehem, GA 30620
Phone(404) 436-2368
Organization SubpartNo
Authorized OfficialTamyra EdwardsOwner/clinical Director · (404) 436-2368
Enumeration DateJune 6, 2022
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 9, 2022
✔ NPI 1740919711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X
440 S PERRY ST STE 202, Lawrenceville, GA 30046
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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

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 Wellness & Psychology, LLC's NPI number?

The NPI number for Magnolia Wellness & Psychology, LLC is 1740919711. It was assigned to this organization in the NPPES registry on June 6, 2022.

Where is Magnolia Wellness & Psychology, LLC located?

Magnolia Wellness & Psychology, LLC is located at 440 S Perry St Ste 202, Lawrenceville, GA 30046. The listed phone number is (404) 436-2368.

What is Magnolia Wellness & Psychology, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Magnolia Wellness & Psychology, LLC was last updated on June 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.