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

Magnolia Integrated Health, LLC

Organization Professional Counselor · NPI 1558731604

Magnolia Integrated Health, LLC is a Professional Counselor in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
Specialties on file
6
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

2227 Idlewood Rd Ste 2
Tucker, GA 30084-4827
Phone: (678) 922-2834
Fax: (678) 922-2270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC002789 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC006908 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC005575 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC003902 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW005116 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 69322 (GA)

Record details

NPI number1558731604
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mira Iheme — President · (678) 922-2834
NPI enumeratedOctober 1, 2015
Last updated in NPPESOctober 1, 2015
Mailing address2227 Idlewood Rd, Suite 2, Tucker, GA 30084-4827

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