Organization · NPI-2

Amethyst Monkey LLC

Social Worker, Clinical · Tempe, AZ

NPI number1346099504
StatusActive
Last updated in NPPESMay 17, 2024

Details

NPI
1346099504
Entity type
Organization (NPI-2)
Legal business name
Amethyst Monkey LLC
Organization subpart
No
Enumeration date
May 17, 2024
Certification date
May 17, 2024
Last updated
May 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

1232 E Broadway Rd Ste 205
Tempe, AZ 85282-1509

Phone 315-663-4793

Mailing address

526 W 1st St Ste 107
Tempe, AZ 85281-2726

Phone 315-663-4793

Authorized official

Giuliana Santaferra
Owner
3156634793

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