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General NPI Number Information
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NPI Number | 1689329468
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Entity Type | Organization
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Legal Business Name | AMETHYST GROWTH & COUNSELING SERVICES
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Dates
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Enumeration Date | 02/19/2022
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 5 S 3RD ST
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City | HAMMONTON
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State | NJ
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Zip | 08037-1677
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Country | US
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Telephone | 609-704-5384
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Fax |
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Provider Business Mailing Address
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Address Line | 5 S 3RD ST
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City | HAMMONTON
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State | NJ
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Zip | 08037-1677
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Country | US
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Telephone | 609-704-5384
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRAJAKTA HARSHE
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Credential |
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Telephone | 609-704-5383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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