Metamorphosis Health And Wellness Center, LLC
Counselor, Professional in Chesterfield, VA. Organization (NPI-2).
NPI number1962059006
StatusActive
Last updated in NPPESApr 20, 2020
Details
- NPI
- 1962059006
- Entity type
- Organization (NPI-2)
- Legal business name
- Metamorphosis Health And Wellness Center, LLC
- Organization subpart
- No
- Enumeration date
- Aug 22, 2019
- Certification date
- Apr 20, 2020
- Last updated
- Apr 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
10106 Krause Rd Ste 206Chesterfield, VA 23832-6572
Phone 804-991-8799 · Fax 804-777-7770
Mailing address
10106 Krause Rd Ste 206Chesterfield, VA 23832-6572
Phone 804-991-8799
Other practice locations
11800 Centre St
Chester, VA 23831-1781
Chester, VA 23831-1781
Phone 757-389-3761
Authorized official
Monica Latriese Holloway
Owner
7573893761
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