OrganizationActive
Magnolia Behavioral Health, PLLC
NPI 1245013770 · Prevention Professional · Fuquay Varina, NC
Provider details
- NPI number
- 1245013770
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Jacqueline Wenzel, Ceo/Owner(919) 961-1948
Specialties & taxonomies
Other Service Providers
- Registered Nurse163W00000X
Nursing Service Providers
- Specialist174400000X
Other Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
602 E Academy St Ste 205
Fuquay Varina, NC 27526-2382
Phone: (919) 635-6202
Fax: (919) 289-1713
Approximate (ZIP-level) locationGet directions
Mailing address
602 E Academy St Ste 205
Fuquay Varina, NC 27526-2382
Other names (DBA / former)
- Doing business as
- Magnolia Psychiatry and Mental Wellness
- Doing business as
- Magnolia Psychiatry and Mental Wellness
Registry dates
- Enumerated
- 2023-08-17
- Last updated
- 2024-03-08
- Certified
- 2024-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.