OrganizationActive
Magnolia Therapy and Wellness
NPI 1083387393 · Mental Health Clinic/Center (Including Community Mental Health Center) · Detroit, MI
Provider details
- NPI number
- 1083387393
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samantha Chittenden, Owner(616) 446-2265
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs 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
1731 Van Dyke St Apt 1
Detroit, MI 48214-2633
Phone: (616) 446-2265
Street-level locationGet directions
Mailing address
269 Walker St Ste 122
Detroit, MI 48207-4258
Registry dates
- Enumerated
- 2021-08-01
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.