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General NPI Number Information
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NPI Number | 1538004031
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Entity Type | Organization
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Legal Business Name | THE MAGNOLIA COLLECTIVE, PLLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 118 W 2ND ST
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City | ANNA
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State | TX
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Zip | 75409-3601
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Country | US
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Telephone | 469-545-2719
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Fax |
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Provider Business Mailing Address
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Address Line | 3756 E FM 455
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City | ANNA
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State | TX
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Zip | 75409-7600
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Country | US
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Telephone | 214-733-9540
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SARAH E TESCHENDORF
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Credential | LPC
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Telephone | 469-545-2719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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