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 is a Clinical Social Worker 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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