Provider Demographics
NPI:1235804352
Name:MAGNOLIA COUNSELING SOLUTIONS, LLC.
Entity Type:Organization
Organization Name:MAGNOLIA COUNSELING SOLUTIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANQUINITA
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCMHC, MED
Authorized Official - Phone:803-384-7333
Mailing Address - Street 1:454 ANDERSON RD S STE 313
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-3398
Mailing Address - Country:US
Mailing Address - Phone:803-384-7333
Mailing Address - Fax:803-497-9311
Practice Address - Street 1:454 ANDERSON RD S STE 313
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-3398
Practice Address - Country:US
Practice Address - Phone:803-384-7333
Practice Address - Fax:803-497-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty