Magnolia Psychiatry LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAGNOLIA PSYCHIATRY LLC

Practice address

1001 Anna Knapp Ext
Mt Pleasant, SC 29464-5412

Phone

(843) 256-3326

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Alexis Angel Lagtapon Guevara, MDNPI 1841851219

Title

Child and Adolescent Psychiatrist

Phone

(843) 256-3326

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 Angel Lagtapon Guevara, MD

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1841851219
  NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1093575722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ANNA KNAPP EXT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645412",
            "telephone_number": "843-256-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ANNA KNAPP EXT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645412",
            "telephone_number": "843-256-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "ALEXIS ANGEL",
        "authorized_official_middle_name": "LAGTAPON",
        "authorized_official_title_or_position": "CHILD AND ADOLESCENT PSYCHIATRIST",
        "authorized_official_telephone_number": "843-256-3326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Edewaard Madden, LPC-A
• Made 2 Move Physical Therapy of Mount Pleasant, LLC
• Madison Culler, D.M.D., P.a.
• Leslie Nichole Mady, LISW-CP
• Magnolia Counseling of Charleston
• Magnolia Psychological Services LLC
• Melissa Clark Mahnken, RN, MSN
• Katherine Mai, LISW-CP
• Elizabeth Irene Majeski, MD
• James Bradley Majors, OD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.