| Amethyst Behavioral Health, Llc | |
|
921 Tribune St Redlands CA 92374-3422 | |
| (909) 809-7671 | |
| Not Available |
| Full Name | Amethyst Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 921 Tribune St, Redlands, California |
| Authorized Official Name and Position | Cole Oliver Fry (CEO) |
| Authorized Official Contact | 9098097671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amethyst Behavioral Health, Llc 320 E Union Ave Redlands CA 92374-3332 Ph: (909) 809-7671 | Amethyst Behavioral Health, Llc 921 Tribune St Redlands CA 92374-3422 Ph: (909) 809-7671 |
| NPI Number | 1134714033 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134714033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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