MAGNOLIA INTEGRATIVE WELLNESS & BEHAVIORAL HEALTH LLC
NPI 1730952581
Nurse Practitioner - Psychiatric/Mental Health in St Augustine, FL

Active since November 03, 2023
4320 PALM ST, ST AUGUSTINE, FL 32084(904) 377-1196 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Magnolia Integrative Wellness & Behavioral Health Llc NPPES

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

MAGNOLIA INTEGRATIVE WELLNESS & BEHAVIORAL HEALTH LLC (NPI 1730952581) is a healthcare organization registered as a psychiatric/mental health in St Augustine, Florida and active in the NPI registry since November 2023. The organization lists Patricia A Gilliano, Owner, as its authorized official.

NPPES Registry Identity

NPI1730952581
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMAGNOLIA INTEGRATIVE WELLNESS & BEHAVIORAL HEALTH LLC
Location Address4320 PALM STSt Augustine, FL 32084-7303
Mailing Address4320 Palm StSt Augustine, FL 32084-7303
Organization SubpartNo
Authorized OfficialPatricia A GillianoOwner · (904) 377-1196
Enumeration DateNovember 3, 2023
NPPES CertifiedNovember 3, 2023
NPI 1730952581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4320 PALM ST, St Augustine, FL 32084

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Integrative Wellness & Behavioral Health LLC's NPI number?

The NPI number for Magnolia Integrative Wellness & Behavioral Health LLC is 1730952581. It was assigned to this organization in the NPPES registry on November 3, 2023.

Where is Magnolia Integrative Wellness & Behavioral Health LLC located?

Magnolia Integrative Wellness & Behavioral Health LLC is located at 4320 Palm St, St Augustine, FL 32084. The listed phone number is (904) 377-1196.

What is Magnolia Integrative Wellness & Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Magnolia Integrative Wellness & Behavioral Health LLC was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.