The Magnolia Clinic, LLC
The Magnolia Clinic, LLC is a Marriage & Family Therapist in Fort Worth, Texas. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1124 Galveston Ave Ste BFort Worth, TX 76104-4878
Phone: (817) 609-2289
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1629731302 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacob Wasonga — Owner · (817) 609-2289 |
| NPI enumerated | October 19, 2021 |
| Last updated in NPPES | October 19, 2021 |
| Certification date | October 19, 2021 |
| Mailing address | Po Box 592732, San Antonio, TX 78259-0186 |
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