| Amygdala Co | |
|
110 N High St Ste 3 Belleville IL 62220-1436 | |
| (314) 518-7967 | |
| Not Available |
| Full Name | Amygdala Co |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 110 N High St Ste 3, Belleville, Illinois |
| Authorized Official Name and Position | Lindsey J Wold (CEO) |
| Authorized Official Contact | 3145187967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amygdala Co 110 N High St Ste 3 Belleville IL 62220-1436 Ph: (314) 518-7967 | Amygdala Co 110 N High St Ste 3 Belleville IL 62220-1436 Ph: (314) 518-7967 |
| NPI Number | 1841944980 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 01/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841944980 | NPI | - | NPPES |
| 1477171528 | Other | IL | OTHER NPI |
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