Amaryllis Mind, Body, & Soul Counseling

NPI #1083496285 in Swansea, Illinois

Provider Information

NPI Number: 1083496285
Entity Type: Organization
Organization Name: Amaryllis Mind, Body, & Soul Counseling
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 20, 2023
Last Updated: Oct 20, 2023

Practice Location

Address: 4509 N ILLINOIS ST
City: Swansea
State: Illinois
ZIP Code: 62226-1524
Phone: (314) 669-5060

Authorized Official

Name: YVONNE LICAVOLI, LCPC
Title: PSYCHOTHERAPIST
Phone: (314) 397-1428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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