Provider Demographics
NPI:1992478283
Name:STEEL MAGNOLIA COUNSELING LLC
Entity type:Organization
Organization Name:STEEL MAGNOLIA COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-602-9723
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:BICKNELL
Mailing Address - State:IN
Mailing Address - Zip Code:47512-0159
Mailing Address - Country:US
Mailing Address - Phone:812-602-9723
Mailing Address - Fax:931-240-0075
Practice Address - Street 1:202 W 10TH ST
Practice Address - Street 2:
Practice Address - City:BICKNELL
Practice Address - State:IN
Practice Address - Zip Code:47512-1033
Practice Address - Country:US
Practice Address - Phone:812-602-9723
Practice Address - Fax:931-240-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-01
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180.012398OtherLICENSE
IN39003076AOtherSTATE LICENSE
KY171357OtherLICENSE