Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amaryllis Mind, Body, & Soul Counseling

Organization Mental Health Counselor · NPI 1083496285

Amaryllis Mind, Body, & Soul Counseling is a Mental Health Counselor in Swansea, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4509 N Illinois St
Swansea, IL 62226-1524
Phone: (314) 669-5060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1083496285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yvonne Licavoli — Psychotherapist · (314) 397-1428
NPI enumeratedOctober 20, 2023
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing address9626 Ridge Heights Rd, Fairview Heights, IL 62208-2319

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