Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Magnolia Behavioral Health, PLLC

Organization Registered Nurse · NPI 1245013770

Magnolia Behavioral Health, PLLC is a Registered Nurse in Fuquay Varina, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

602 E Academy St Ste 205
Fuquay Varina, NC 27526-2382
Phone: (919) 635-6202
Fax: (919) 289-1713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X
Registered Nurse Taxonomy 163W00000X
Specialist Taxonomy 174400000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1245013770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Wenzel — Ceo/Owner · (919) 961-1948
Other names Magnolia Psychiatry And Mental Wellness; Magnolia Psychiatry And Mental Wellness
NPI enumeratedAugust 17, 2023
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024
Mailing address602 E Academy St Ste 205, Fuquay Varina, NC 27526-2382

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