| Amethyst House | |
|
645 N Walnut St Bloomington IN 47404-3846 | |
| (812) 336-3570 | |
| Not Available |
| Full Name | Amethyst House |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 645 N Walnut St, Bloomington, Indiana |
| Authorized Official Name and Position | Andrea Cheek (OUTPATIENT CLINICIAN) |
| Authorized Official Contact | 8123363570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amethyst House Po Box 11 Bloomington IN 47402-0011 Ph: (812) 336-3570 | Amethyst House 645 N Walnut St Bloomington IN 47404-3846 Ph: (812) 336-3570 |
| NPI Number | 1053744474 |
|---|---|
| Provider Enumeration Date | 08/21/2013 |
| Last Update Date | 08/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053744474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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