Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Magnolia Integrated Health, LLC

Organization Professional Counselor · NPI 1558731604

Magnolia Integrated Health, LLC provides Professional Counselor services in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2227 Idlewood Rd Ste 2
Tucker, GA 30084-4827 Not confirmed with CMS for 11 years — call before visiting
Phone: (678) 922-2834
Fax: (678) 922-2270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC002789 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC006908 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC005575 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC003902 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW005116 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 69322 (GA)

Record details

NPI number1558731604
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mira Iheme — President · (678) 922-2834
NPI enumeratedOctober 1, 2015
Last updated in NPPESOctober 1, 2015
Mailing address2227 Idlewood Rd, Suite 2, Tucker, GA 30084-4827

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