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Southern Magnolia Therapy Llc

Counselor - Mental Health

INGRAM DIRTON
NPI: 1003615238Tempe, Arizona, 85281(864) 979-1325

About Southern Magnolia Therapy Llc

Southern Magnolia Therapy Llc is a healthcare organization providing Counselor - Mental Health services, with specialized expertise in Mental Health, registered under National Provider Identifier (NPI) number 1003615238.

The authorized official for Southern Magnolia Therapy Llc is INGRAM DIRTON. The organization is headquartered at 708 S LINDON LN, Tempe, Arizona 85281. The main office can be reached at (864) 979-1325.

Southern Magnolia Therapy Llc has been NPI-registered since 2025.

Locations & Contact

Primary Location

Address
708 S LINDON LN
City
Tempe
State
Arizona
ZIP
85281
Phone
(864) 979-1325
View on Google Maps

Authorized Official

Name
INGRAM DIRTON

Mailing Address

Address
708 S LINDON LN
City
TEMPE
State
AZ
ZIP
85281

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Counselor - Mental Health
Classification
Counselor
Specialization
Mental Health
Taxonomy Code
101YM0800X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Southern Magnolia Therapy Llc's NPI number?
Southern Magnolia Therapy Llc's National Provider Identifier (NPI) is 1003615238. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Southern Magnolia Therapy Llc specialize in?
Southern Magnolia Therapy Llc specializes in Counselor - Mental Health.
Where is Southern Magnolia Therapy Llc located?
Southern Magnolia Therapy Llc practices at 708 S LINDON LN, Tempe, Arizona 85281. You can reach them by phone at (864) 979-1325.
Does Southern Magnolia Therapy Llc accept Medicare?
Based on available data, Southern Magnolia Therapy Llc is not currently enrolled in the Medicare program.
Does Southern Magnolia Therapy Llc offer telehealth or virtual visits?
Southern Magnolia Therapy Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Southern Magnolia Therapy Llc holds NPI 1003615238, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.