Organization
AMETHYST HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA CHEEK MSW (OUTPATIENT CLINICIAN)
(812) 336-3570
Entity
Organization
Contact information
Practice address
645 N WALNUT ST, BLOOMINGTON, IN 47404-3846
(812) 336-3570
Mailing address
PO BOX 11, BLOOMINGTON, IN 47402-0011
(812) 336-3570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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