Organization
AMETHYST CONSULTING & TREATMENT SOLUTIONS, PLLC
Active
Parent organization
AMETHYST CONSULTING & TREATMENT SOLUTIONS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMETHYST CONSULTING & TREATMENT SOLUTIONS, PLLC
Authorized official
DR. NOEL BOST PHD, LCSW (EXECUTIVE DIRECTOR/OWNER)
(336) 674-9781
Entity
Organization
Contact information
Practice address
101 N CARTER ST, SUITE 9, LA CROSSE, VA 23950-1900
(336) 674-9781
Mailing address
3908 FOX GROVE TRL, GREENSBORO, NC 27406-9375
(336) 674-9781
(336) 282-3430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904009132
LCSW LICENSE NUMBER
VA
Enumeration date
11/18/2015
Last updated
01/21/2016
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