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

Magnolia Gardens Pch, Inc

Organization Community/Behavioral Health Agency · NPI 1912138454

Magnolia Gardens Pch, Inc is a Community/Behavioral Health Agency in Stone Mountain, Georgia. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5348 Kelleys Creek Dr
Stone Mountain, GA 30088-3827
Phone: (770) 469-8925
Fax: (770) 469-8925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1912138454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teri Cargill — Director · (678) 697-0575
NPI enumeratedJuly 31, 2009
Last updated in NPPESMarch 12, 2010
Mailing addressPo Box 684, Lovejoy, GA 30250-0684

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