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Organization
AMETHYST WELLNESS LLC
Active
Organization
AMETHYST WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RAUFMAN LCSW (AGENCY DIRECTOR)
(608) 531-8578
Entity
Organization
Contact information
Practice address
6302 ODANA RD STE 215, MADISON, WI 53719-1162
(608) 709-9575
(608) 714-4010
Mailing address
PO BOX 127, MAZOMANIE, WI 53560-0127
(608) 709-9575
(608) 714-4010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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