Magnolia Mindfulness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MAGNOLIA MINDFULNESS LLC

Practice address

3109 S Grand Blvd Ste 260H
Saint Louis, MO 63118-1090

Phone

(314) 608-7305

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Alexis Short, LCSWNPI 1912641309

Title

Owner

Phone

(314) 608-7305

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis Short, MSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1912641309
  NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1083420103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 SIDNEY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041778",
            "telephone_number": "314-608-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 S GRAND BLVD STE 260H",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181090",
            "telephone_number": "314-608-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MINDFULNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-608-7305",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnificent Hearts LLC
• Magnificent Villa
• Magnolia Counseling Services LLC
• Magnolia Home Health Care, LLC
• Magnolia in-Home Home Care LLC
• Brianna Cristine Magnusen, M.D.
• Barbara Jean Magruder, PT
• Angela Beth Maguire, PHARMD
• Courtney R Maguire, MD
• James Michael Maguire, DDS

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.