| Amethyst Mental Health Therapy | |
|
1 Bethany Rd Ste 69 Hazlet NJ 07730-1668 | |
| (732) 670-7723 | |
| Not Available |
| Full Name | Amethyst Mental Health Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 Bethany Rd Ste 69, Hazlet, New Jersey |
| Authorized Official Name and Position | Amanda Lonnay (OWNER) |
| Authorized Official Contact | 7326871335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amethyst Mental Health Therapy 1 Bethany Rd Ste 69 Hazlet NJ 07730-1668 Ph: (732) 670-7723 | Amethyst Mental Health Therapy 1 Bethany Rd Ste 69 Hazlet NJ 07730-1668 Ph: (732) 670-7723 |
| NPI Number | 1609532837 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609532837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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