Metamorphosis Life Revitalizing Center

LBN: Metamorphosis Life Revitalizing Center
Metamorphosis Life Revitalizing Center is an health care organization with primary practice located at 11700 N 58Th St Suite J, Temple Terrace FL 33617-1666. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Metamorphosis Life Revitalizing Center can be contacted via phone (813) 703-2256, or through Jackson-James, April Michelle via phone (813) 703-2256.

Contact Information

Primary practice address
11700 N 58Th St Suite J Temple Terrace FL 33617-1666
Phone: (813) 703-2256
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson-James, April Michelle PHD
Phone: (813) 703-2256

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY8197 Florida

Profile Details

NPI number 1356755060
LBN Legal business name Metamorphosis Life Revitalizing Center
DBA Doing business as
Authorized official Jackson-James, April Michelle PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2014
Last updated Jun 20th, 2014 - about 11 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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