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MAGNOLIA WELLNESS CENTER
NPI 1740986421
Psychologist - Clinical in Lake Villa, IL

Active since February 03, 2023
36936 N CORONA DR, LAKE VILLA, IL 60046(773) 294-7885 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Wellness Center NPPES

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

MAGNOLIA WELLNESS CENTER (NPI 1740986421) is a healthcare organization registered as a clinical in Lake Villa, Illinois and active in the NPI registry since February 2023. The organization lists Alexandra Colon, Owner, as its authorized official.

NPPES Registry Identity

NPI1740986421
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMAGNOLIA WELLNESS CENTER
Location Address36936 N CORONA DRLake Villa, IL 60046-5800
Mailing Address2724 W Chicago Ave Apt 2fChicago, IL 60622-5169 · (773) 294-7885
Phone(773) 294-7885
Organization SubpartNo
Authorized OfficialAlexandra ColonOwner · (773) 294-7885
Enumeration DateFebruary 3, 2023
NPPES CertifiedFebruary 3, 2023
✔ NPI 1740986421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
36936 N CORONA DR, Lake Villa, IL 60046
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Center's NPI number?

The NPI number for Magnolia Wellness Center is 1740986421. It was assigned to this organization in the NPPES registry on February 3, 2023.

Where is Magnolia Wellness Center located?

Magnolia Wellness Center is located at 36936 N Corona Dr, Lake Villa, IL 60046. The listed phone number is (773) 294-7885.

What is Magnolia Wellness Center'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 Center was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.