Amygdala Co
LBN: Amygdala Co
Amygdala Co is an health care organization with primary practice located at 110 N High St Ste 3 , Belleville IL 62220-1436. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Amygdala Co can be contacted via phone (314) 518-7967, or through Wold, Lindsey via phone (314) 518-7967.
Contact Information
Primary practice address
110 N High St Ste 3
Belleville IL 62220-1436
Phone: (314) 518-7967
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1477171528 |
|---|---|
| LBN Legal business name | Amygdala Co |
| DBA Doing business as | |
| Authorized official | Wold, Lindsey MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2020 |
| Last updated | Jan 25th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477171528 | NPPES |
| Illinois | Other | 1477171528 | NATIONAL PROVIDER IDENTIFIER |
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