# MAGNOLIA ROOTS BAHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174447650
- **Authorized official:** ALEXANDRA AGE (OWNER)
- **Authorized official phone:** (504) 952-7346

## Contact information

- **Practice address:** 6941 MAYO BLVD, NEW ORLEANS, LA 70126-3054
- **Practice address phone:** (504) 952-7346
- **Mailing address:** 6941 MAYO BLVD, NEW ORLEANS, LA 70126-3054
- **Mailing address phone:** (504) 952-7346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2026
- **Last updated:** 10/08/2026