Southern Magnolia Therapy LLC
Southern Magnolia Therapy LLC provides Mental Health Counselor services in Goodyear, Arizona. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
25 N 173rd Ave Apt 2Goodyear, AZ 85338-6712
Phone: (864) 979-1325
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1003615238 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ingram Dirton — Clinical Director · (864) 979-1325 |
| NPI enumerated | March 11, 2025 |
| Last updated in NPPES | May 5, 2026 |
| Certification date | May 5, 2026 |
| Mailing address | 25 N 173rd Ave Apt 2, Goodyear, AZ 85338-6712 |
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