Organization
AMETHYST GROWTH & COUNSELING SERVICES
Active
Other names
Amethyst Personal Growth & Counseling Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PRAJAKTA HARSHE (PRESIDENT)
(609) 704-5383
Entity
Organization
Contact information
Practice address
5 S 3RD ST, HAMMONTON, NJ 08037-1677
(609) 704-5384
Mailing address
5 S 3RD ST, HAMMONTON, NJ 08037-1677
(609) 704-5384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174033252
NPI
NJ
01
—
1659520559
NPI
NJ
01
—
1689329468
NPI
NJ
01
—
1770032237
NPI
NJ
01
—
1790879088
NPI
NJ
01
—
1932123122
NPI
NJ
Enumeration date
02/19/2022
Last updated
02/01/2024
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