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Organization

AMETHYST MENTAL HEALTH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA LONNAY LPC, LCADC (OWNER)
(732) 687-1335
Entity
Organization

Contact information

Practice address
1 BETHANY RD STE 69, HAZLET, NJ 07730-1668
(732) 670-7723
Mailing address
1 BETHANY RD STE 69, HAZLET, NJ 07730-1668
(732) 670-7723

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/11/2021
Last updated
02/23/2022
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