Organization Active NPI

Magnolia-Creek, LLC

  • Psychiatric Residential Treatment Facility
  • Columbiana, AL
National Provider Identifier
1265563993
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
MAGNOLIA-CREEK, LLC
Practice address
162 Magnolia Creek Dr
Columbiana, AL 35051-1157
Phone
(205) 730-6649
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Benjamin Brady
Title
Cfo
Phone
(615) 864-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

162 Magnolia Creek Dr
Columbiana, AL 35051-1157

Mailing address

1035 Monticello Dr
Anderson, IN 46011-1223

National Provider Directory

National Provider Directory

Locations

162 Magnolia Creek Dr
Columbiana, AL 35051
Phone (205) 730-6649

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1265563993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 MONTICELLO DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460111223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MAGNOLIA CREEK DR",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350511157",
            "telephone_number": "205-730-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA-CREEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-864-8145"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.