Southern Magnolia Therapy LLC
NPI 1003615238 · Mental Health Counselor · Goodyear, AZ
Southern Magnolia Therapy LLC is a Mental Health Counselor organization in Goodyear, AZ (NPI 1003615238).
Provider details
- NPI number
- 1003615238
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ingram Dirton, Clinical Director(864) 979-1325
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-11
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Southern Magnolia Therapy LLC's NPI number?
- Southern Magnolia Therapy LLC's National Provider Identifier (NPI) is 1003615238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Magnolia Therapy LLC?
- Southern Magnolia Therapy LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Southern Magnolia Therapy LLC located?
- Southern Magnolia Therapy LLC's practice location on file with NPPES is 25 N 173rd Ave Apt 2, Goodyear, AZ 85338-6712.
- What is Southern Magnolia Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Magnolia Therapy LLC is (864) 979-1325.
- Who is the authorized official for Southern Magnolia Therapy LLC?
- The authorized official listed on Southern Magnolia Therapy LLC's NPPES record is Ingram Dirton, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Magnolia Therapy LLC's NPI active?
- Yes — Southern Magnolia Therapy LLC's NPI (1003615238) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.