| Amethyst Wellness, Inc. | |
|
4477 Manitou Rd Excelsior MN 55331-9448 | |
| (612) 723-3796 | |
| Not Available |
| Full Name | Amethyst Wellness, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4477 Manitou Rd, Excelsior, Minnesota |
| Authorized Official Name and Position | James Edwin Chadwick (PRESDIENT/FOUNDER) |
| Authorized Official Contact | 6127233796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amethyst Wellness, Inc. 4477 Manitou Rd Excelsior MN 55331-9448 Ph: (612) 723-3796 | Amethyst Wellness, Inc. 4477 Manitou Rd Excelsior MN 55331-9448 Ph: (612) 723-3796 |
| NPI Number | 1881581411 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 06/18/2025 |
| Certification Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881581411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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