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

Magnolia Haven LLC

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1508794520

Magnolia Haven LLC is an Emotionally Disturbed Childrens' Residential Treatment Facility in Charlotte, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2512 Westhampton Dr
Charlotte, NC 28208-6050
Phone: (980) 239-9535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1508794520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hinsene Samson — Owner · (980) 239-9535
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address1225 Louise Ave, Charlotte, NC 28205-2852

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