Provider Demographics
NPI:1992525299
Name:MAGNOLIA COUNSELING AND CONSULTING SERVICES, PLLC
Entity type:Organization
Organization Name:MAGNOLIA COUNSELING AND CONSULTING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:956-249-4757
Mailing Address - Street 1:135 PASEO DEL PRADO AVE STE 21
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9626
Mailing Address - Country:US
Mailing Address - Phone:956-249-4757
Mailing Address - Fax:956-468-2280
Practice Address - Street 1:135 PASEO DEL PRADO AVE STE 21
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9626
Practice Address - Country:US
Practice Address - Phone:956-249-4757
Practice Address - Fax:956-468-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-12
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty