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General NPI Number Information
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NPI Number | 1700747938
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Entity Type | Organization
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Legal Business Name | MAGNOLIA WOOD COUNSELING PLLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 17045 EL CAMINO REAL STE 211
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City | HOUSTON
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State | TX
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Zip | 77058-2644
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Country | US
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Telephone | 832-598-8674
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Fax |
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Provider Business Mailing Address
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Address Line | 1799 FM 528 RD APT 7001
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City | WEBSTER
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State | TX
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Zip | 77598-4717
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Country | US
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Telephone | 281-748-3793
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIA ORTIZ
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Credential | LPC
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Telephone | 281-748-3793
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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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