Organization Active NPI

Magnolia Community Mental Health Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tampa, FL
National Provider Identifier
1699468611
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC
Practice address
2513 W Hillsborough Ave Ste 210
Tampa, FL 33614-6122
Phone
(813) 450-1052
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Sunamys Miralles
Title
Owner
Phone
(813) 443-5530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2513 W Hillsborough Ave Ste 210
Tampa, FL 33614-6122

Mailing address

2513 W Hillsborough Ave Ste 210
Tampa, FL 33614-6122
Phone (813) 450-1052

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Community Mental Health 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

5301 N Habana Ave
Ste 1
Tampa, FL 33614
Phone (786) 503-4750

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1699468611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 W HILLSBOROUGH AVE STE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146122",
            "telephone_number": "813-450-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 W HILLSBOROUGH AVE STE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146122",
            "telephone_number": "813-450-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "MIRALLES",
        "authorized_official_first_name": "SUNAMYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-443-5530"
    },
    "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": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.