Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Mindfulness LLC

Organization Clinical Social Worker · NPI 1083420103

Magnolia Mindfulness LLC provides Clinical Social Worker services in Saint Louis, Missouri. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3109 S Grand Blvd Ste 260H
Saint Louis, MO 63118-1090
Phone: (314) 608-7305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1083420103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Short — Owner · (314) 608-7305
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address3542 Sidney St, Saint Louis, MO 63104-1778

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