Organization Active NPI

Magnolia Therapy Center LLC

  • Contractor
  • Miami, FL
National Provider Identifier
1033083662
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
MAGNOLIA THERAPY CENTER LLC
Practice address
300 SW 107TH Ave Ste 205
Miami, FL 33174-3602
Phone
(305) 209-0038
Fax
(305) 675-7767
NPI assigned
Oct 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Liliana Galvez Alonso
Title
Ambr
Phone
(305) 209-0038

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X

Addresses

Primary practice location

300 SW 107TH Ave Ste 205
Miami, FL 33174-3602

Mailing address

300 SW 107TH Ave Ste 205
Miami, FL 33174-3602
Phone (305) 209-0038

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Therapy Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 SW 107th Ave
Ste 205
Miami, FL 33174
Phone (305) 209-0038

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763164800000",
    "number": "1033083662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SW 107TH AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743602",
            "telephone_number": "305-209-0038",
            "fax_number": "305-675-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SW 107TH AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743602",
            "telephone_number": "305-209-0038",
            "fax_number": "305-675-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A",
        "authorized_official_last_name": "GALVEZ ALONSO",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "305-209-0038",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.