Amethyst Behavioral Health, LLC

Organization Active NPI Clinical Social Worker · Redlands, CA

NPI 1740113299 · NPPES record last updated Jun 4, 2026

Key facts

NPI
1740113299
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
AMETHYST BEHAVIORAL HEALTH, LLC
Practice address
514 Hartzell Ave
Redlands, CA 92374-2409
Phone
(909) 809-9293
NPI assigned
Jun 4, 2026
Organization subpart
Yes
Parent organization (as reported)
AMETHYST BEHAVIORAL HEALTH, LLC

Authorized official

Name
Cole Oliver Fry Jr.
Title
Owner
Phone
(909) 809-9293

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Amethyst Behavioral Health LLC (2 organizations share this tax ID)
Part of
Amethyst Behavioral Health LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

514 Hartzell Ave
Redlands, CA 92374-2409

Mailing address

320 E Union Ave
Redlands, CA 92374-3332
Phone (909) 809-9293

Other providers in Redlands, CA

All providers in Redlands, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.