| Doctor Name: | MYRTIS MAGEE |
| NPI Number: | 1316310360 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 5552 |
| Business Practice Address: | 700 Lake St Lake Providence, LA - 712542526 |
| Business Phone Number: | 3185530551 |
| Business Fax Number: | 3185590538 |
| Mailing Address: | 310 Davis St, LAKE PROVIDENCE |
| State: | LA |
| Postal Code: | 712542940 |
| Phone Number: | 3182823984 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2015 |
| NPI Last Update Date: | 11/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |