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Amygdala Co
Adolescent and Children Mental Health Clinic/Center in Belleville, Illinois
NPI 1477171528

Amygdala Co is an Adolescent and Children Mental Health Clinic/Center based in Belleville, IL and is specialized in Adolescent and Children Mental Health. Amygdala Co practices in Belleville, IL. The NPI Number for Amygdala Co is 1477171528 and holds a License No. (Illinois).

The current practice location address for Amygdala Co is 110 N High St Ste 3, Belleville, IL and can be reached out via phone at 314-518-7967. You can also correspond with Amygdala Co through the mailing address at 110 N HIGH ST STE 3, BELLEVILLE, IL - 62220-1436 (mailing address contact number: 314-518-7967).

Location: 110 N High St Ste 3, Belleville, IL, 62220-1436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477171528
Provider Name
Amygdala Co
Credential
Provider Entity Type
Organization
Address
110 N High St Ste 3, Belleville, IL, 62220-1436
Phone Number
314-518-7967
Fax Number
Provider Enumeration Date
07/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477171528 01 IL NATIONAL PROVIDER IDENTIFIER
institution
Provider Business Practice Location Address Details
Address
110 N High St Ste 3
City
Belleville
State
Illinois
Zip
62220-1436
Phone Number
314-518-7967
Fax Number
person
Provider Business Mailing Address Details
Address
110 N High St Ste 3
City
Belleville
State
Illinois
Zip
62220-1436
Phone Number
314-518-7967
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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