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General NPI Number Information
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NPI Number | 1235804352
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Entity Type | Organization
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Legal Business Name | MAGNOLIA COUNSELING SOLUTIONS, LLC.
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 454 ANDERSON RD S STE 313
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City | ROCK HILL
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State | SC
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Zip | 29730-3398
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Country | US
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Telephone | 803-384-7333
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Fax | 803-497-9311
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Provider Business Mailing Address
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Address Line | 454 ANDERSON RD S STE 313
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City | ROCK HILL
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State | SC
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Zip | 29730-3398
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Country | US
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Telephone | 803-384-7333
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Fax | 803-497-9311
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. ANQUINITA COCHRAN
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Credential | LPC, LCMHC, M.ED.
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Telephone | 803-384-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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