# AMETHYST CONSULTING & TREATMENT SOLUTIONS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMETHYST CONSULTING & TREATMENT SOLUTIONS, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881068500
- **Legal business name:** AMETHYST CONSULTING & TREATMENT SOLUTIONS, PLLC
- **Authorized official:** DR. NOEL BOST PHD, LCSW (EXECUTIVE DIRECTOR/OWNER)
- **Authorized official phone:** (336) 674-9781

## Contact information

- **Practice address:** 101 N CARTER ST, SUITE 9, LA CROSSE, VA 23950-1900
- **Practice address phone:** (336) 674-9781
- **Mailing address:** 3908 FOX GROVE TRL, GREENSBORO, NC 27406-9375
- **Mailing address phone:** (336) 674-9781
- **Mailing address fax:** (336) 282-3430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 01/21/2016