MAGNOLIA MINDFULNESS LLC
NPI 1083420103
Social Worker - Clinical in Saint Louis, MO

Active since December 04, 2024
3109 S GRAND BLVD STE 260H, SAINT LOUIS, MO 63118(314) 608-7305 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Mindfulness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA MINDFULNESS LLC (NPI 1083420103) is a healthcare organization registered as a clinical in Saint Louis, Missouri and active in the NPI registry since December 2024. The organization lists Alexis Short, Owner, as its authorized official.

NPPES Registry Identity

NPI1083420103
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMAGNOLIA MINDFULNESS LLC
Location Address3109 S GRAND BLVD STE 260HSaint Louis, MO 63118-1090
Mailing Address3542 Sidney StSaint Louis, MO 63104-1778 · (314) 608-7305
Organization SubpartNo
Authorized OfficialAlexis ShortOwner · (314) 608-7305
Enumeration DateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
NPI 1083420103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3109 S GRAND BLVD STE 260H, Saint Louis, MO 63118

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Mindfulness LLC's NPI number?

The NPI number for Magnolia Mindfulness LLC is 1083420103. It was assigned to this organization in the NPPES registry on December 4, 2024.

Where is Magnolia Mindfulness LLC located?

Magnolia Mindfulness LLC is located at 3109 S Grand Blvd Ste 260H, Saint Louis, MO 63118. The listed phone number is (314) 608-7305.

What is Magnolia Mindfulness LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Magnolia Mindfulness LLC was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.