Healthcare Provider Details
I. General information
NPI: 1720993900
Provider Name (Legal Business Name): MAGNOLIA PSYCHOLOGICAL PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8137 NUNN TRCE
MONTGOMERY AL
36117-5611
US
IV. Provider business mailing address
8137 NUNN TRCE
MONTGOMERY AL
36117-5611
US
V. Phone/Fax
- Phone: 337-263-2812
- Fax:
- Phone: 337-263-2812
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CAITLIN
M
SINGLETARY
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 337-263-2812