Metamorphosis Counseling And Health Center Of Idaho, Llc
LBN: Metamorphosis Counseling And Health Center Of Idaho, Llc
Metamorphosis Counseling And Health Center Of Idaho, Llc is an health care organization with primary practice located at 10108 W Overland Rd # A , Boise ID 83709-1428. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Metamorphosis Counseling And Health Center Of Idaho, Llc can be contacted via phone (208) 376-1532, or through Miller, Crystal Michelle via phone (208) 376-1532.
Contact Information
Primary practice address
10108 W Overland Rd # A
Boise ID 83709-1428
Phone: (208) 376-1532
Fax: (208) 375-7251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1235791997 |
|---|---|
| LBN Legal business name | Metamorphosis Counseling And Health Center Of Idaho, Llc |
| DBA Doing business as | |
| Authorized official | Miller, Crystal Michelle BS |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 2nd, 2019 |
| Last updated | Dec 14th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235791997 | NPPES |
| Idaho | MEDICAID | UNKNOWN |
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