Provider Demographics
NPI:1144056946
Name:MAGNOLIA COUNSELING LLC
Entity type:Organization
Organization Name:MAGNOLIA COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:501-680-1635
Mailing Address - Street 1:210 S PULASKI ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-1926
Mailing Address - Country:US
Mailing Address - Phone:501-628-7941
Mailing Address - Fax:
Practice Address - Street 1:210 S PULASKI ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-1926
Practice Address - Country:US
Practice Address - Phone:501-628-7941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty