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AMARYLLIS MIND, BODY, & SOUL COUNSELING
NPI 1083496285
Counselor - Mental Health in Swansea, IL

Active since October 20, 2023
4509 N ILLINOIS ST, SWANSEA, IL 62226(314) 669-5060 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amaryllis Mind, Body, & Soul Counseling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMARYLLIS MIND, BODY, & SOUL COUNSELING (NPI 1083496285) is a healthcare organization registered as a mental health in Swansea, Illinois and active in the NPI registry since October 2023. The organization lists Yvonne Licavoli, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1083496285
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAMARYLLIS MIND, BODY, & SOUL COUNSELING
Location Address4509 N ILLINOIS STSwansea, IL 62226-1524
Mailing Address9626 Ridge Heights RdFairview Heights, IL 62208-2319 · (314) 397-1428
Phone(314) 669-5060
Organization SubpartNo
Authorized OfficialYvonne LicavoliPsychotherapist · (314) 397-1428
Enumeration DateOctober 20, 2023
NPPES CertifiedOctober 20, 2023
✔ NPI 1083496285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4509 N ILLINOIS ST, Swansea, IL 62226
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amaryllis Mind, Body, & Soul Counseling's NPI number?

The NPI number for Amaryllis Mind, Body, & Soul Counseling is 1083496285. It was assigned to this organization in the NPPES registry on October 20, 2023.

Where is Amaryllis Mind, Body, & Soul Counseling located?

Amaryllis Mind, Body, & Soul Counseling is located at 4509 N Illinois St, Swansea, IL 62226. The listed phone number is (314) 669-5060.

What is Amaryllis Mind, Body, & Soul Counseling's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Amaryllis Mind, Body, & Soul Counseling was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.