Organization Active NPI

Amethyst Wellness Center

  • Community/Behavioral Health Agency
  • Cheraw, SC
National Provider Identifier
1033833975
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMETHYST WELLNESS CENTER
Practice address
110 Duvall St
Cheraw, SC 29520-2406
Phone
(980) 316-5129
Fax
(877) 497-9606
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Garcia Lee Morman Jr.
Title
Owner
Phone
(980) 316-5129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

110 Duvall St
Cheraw, SC 29520-2406

Mailing address

110 Duvall St
Cheraw, SC 29520-2406
Phone (980) 316-5129

Other names 1

  • Amethyst Wellness Center Other name

National Provider Directory

National Provider Directory

Locations

110 Duvall St
Cheraw, SC 29520
Phone (910) 434-4970

1001 W Evans St
Florence, SC 29501
Phone (843) 603-3041

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1033833975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DUVALL ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202406",
            "telephone_number": "980-316-5129",
            "fax_number": "877-497-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DUVALL ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202406",
            "telephone_number": "980-316-5129",
            "fax_number": "877-497-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "MORMAN",
        "authorized_official_first_name": "GARCIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-316-5129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amethyst Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amethyst Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheraw, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.