Provider Demographics
NPI:1962206870
Name:AMETHYST COUNSELING, LLC
Entity type:Organization
Organization Name:AMETHYST COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/COUNSELING
Authorized Official - Prefix:
Authorized Official - First Name:SLOANE
Authorized Official - Middle Name:H
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:334-550-4985
Mailing Address - Street 1:350 N ROSS ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-4844
Mailing Address - Country:US
Mailing Address - Phone:334-332-7332
Mailing Address - Fax:
Practice Address - Street 1:350 N ROSS ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-4844
Practice Address - Country:US
Practice Address - Phone:334-332-7332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)