Metamorphosis Health And Wellness Center, Llc

LBN: Metamorphosis Health And Wellness Center, Llc
Metamorphosis Health And Wellness Center, Llc is an health care organization with primary practice located at 10106 Krause Rd Ste 206 , Chesterfield VA 23832-6572. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Metamorphosis Health And Wellness Center, Llc can be contacted via phone (804) 991-8799, or through Holloway, Monica Latriese via phone (757) 389-3761.

Contact Information

Primary practice address
10106 Krause Rd Ste 206 Chesterfield VA 23832-6572
Phone: (804) 991-8799
Fax: (804) 777-7770
Website:
Map and Directions
Authorized official contact:
Name: Holloway, Monica Latriese LPC, NCC
Phone: (757) 389-3761

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1962059006
LBN Legal business name Metamorphosis Health And Wellness Center, Llc
DBA Doing business as
Authorized official Holloway, Monica Latriese LPC, NCC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2019
Last updated Apr 20th, 2020 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962059006 NPPES
Virginia MEDICAID 247726836

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