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 Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rural 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 J 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:
Map and Directions
Authorized official contact:
Name: Wold, Lindsey J
Phone: (314) 518-7967

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1841944980
LBN Legal business name Amygdala Co
DBA Doing business as
Authorized official Wold, Lindsey J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2022
Last updated Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841944980 NPPES
Illinois Other 1477171528 OTHER NPI

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