| Amethyst Personal Growth & Counseling Services, Llc | |
|
5 S 3rd St Hammonton NJ 08037-1677 | |
| (609) 704-5384 | |
| Not Available |
| Full Name | Amethyst Personal Growth & Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5 S 3rd St, Hammonton, New Jersey |
| Authorized Official Name and Position | Prajakta Harshe (PRESIDENT) |
| Authorized Official Contact | 6097045383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amethyst Personal Growth & Counseling Services, Llc 5 S 3rd St Hammonton NJ 08037-1677 Ph: (609) 704-5384 | Amethyst Personal Growth & Counseling Services, Llc 5 S 3rd St Hammonton NJ 08037-1677 Ph: (609) 704-5384 |
| NPI Number | 1689329468 |
|---|---|
| Provider Enumeration Date | 02/19/2022 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 9537504709 |
|---|---|
| Medicare Enrollment ID | O20240227003076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689329468 | NPI | - | NPPES |
| 1689329468 | Other | NJ | NPI |
| 1659520559 | Other | NJ | NPI |
| 1790879088 | Other | NJ | NPI |
| 1932123122 | Other | NJ | NPI |
| 1174033252 | Other | NJ | NPI |
| 1770032237 | Other | NJ | NPI |
| Provider Name | David J Schrag |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790879088 PECOS PAC ID: 8123057890 Enrollment ID: I20050829000662 |
| Provider Name | Prajakta Sharad Harshe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659520559 PECOS PAC ID: 3274926738 Enrollment ID: I20240227003367 |
| Provider Name | Marianne Huttinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932123122 PECOS PAC ID: 5799124368 Enrollment ID: I20240415004046 |
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