Organization
AMETHYST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA O'KEEFFE (CHIEF EXECUTIVE OFFICER)
(614) 242-1284
Entity
Organization
Contact information
Practice address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(614) 242-1284
(614) 242-1285
Mailing address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(614) 242-1284
(614) 242-1285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
96-063T
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
96-064T
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
96-065T
OH
101YM0800X
Mental Health Counselor
0535
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001849
—
OH
Enumeration date
11/11/2005
Last updated
09/11/2025
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