| Kayla L Anderson Llc | |
|
114 E Lincoln St Belleville IL 62220-2251 | |
| (217) 473-8726 | |
| Not Available |
| Full Name | Kayla L Anderson Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 114 E Lincoln St, Belleville, Illinois |
| Authorized Official Name and Position | Kayla L Anderson (OWNER) |
| Authorized Official Contact | 2174738726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla L Anderson Llc 1105 Naturescape Ct O Fallon IL 62269-6971 Ph: (217) 473-8726 | Kayla L Anderson Llc 114 E Lincoln St Belleville IL 62220-2251 Ph: (217) 473-8726 |
| NPI Number | 1699388991 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699388991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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