NPI age
4 years
Enumerated 2021-10-19
● Active Type 2 · Organization
The Magnolia Clinic, Llc
The Magnolia Clinic, Llc is 1 of 3335 marriage & family therapist organizations in Texas.
Primary specialty
Marriage & Family Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wasonga
Owner
Last NPPES update
2021-10-19
Source: monthly bulk 2026-05
How this organization compares
Across 3335 active marriage & family therapist providers in Texas.
NPI age
4 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1124 Galveston Ave Ste B
Fort Worth, TX 761044878
Mailing address
Po Box 592732
San Antonio, TX 782590186
Authorized official
Jacob Wasonga
Owner
📞 8176092289
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jacob Wasonga, PH.D, LMFT Marriage & Family Therapist NPI 1861043713
Specialties
-
Marriage & Family Therapist PrimaryA marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.