Amethyst Psychological Services | |
1774 Century Blvd Ne Ste B Atlanta GA 30345-3312 | |
(470) 223-5921 | |
Not Available |
Full Name | Amethyst Psychological Services |
---|---|
Speciality | Community/behavioral Health |
Location | 1774 Century Blvd Ne Ste B, Atlanta, Georgia |
Authorized Official Name and Position | Jasmine Winbush (PRESIDENT) |
Authorized Official Contact | 4702235921 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amethyst Psychological Services 4617 Ivygate Cir Se Atlanta GA 30339-1331 Ph: () - | Amethyst Psychological Services 1774 Century Blvd Ne Ste B Atlanta GA 30345-3312 Ph: (470) 223-5921 |
NPI Number | 1447842570 |
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Provider Enumeration Date | 02/10/2021 |
Last Update Date | 02/10/2021 |
Certification Date | 02/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447842570 | NPI | - | NPPES |
1073097168 | Other | GA | INDIVIDUAL PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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