| Organization Name: | MAGNOLIA COUNSELING, LLC. |
| NPI Number: | 1629423835 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARAH YOUNG (MANAGING MEMBER/OWNER) |
| Mailing Address: | 623 W Market St Perkasie |
| State: | PA US |
| Postal Code: | 189441470 |
| Phone Number: | 6103069302 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2016 |
| NPI Last Update Date: | 04/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC007998 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |