Metamorphosis Therapy, Llc

LBN: Metamorphosis Therapy, Llc
Metamorphosis Therapy, Llc is an health care organization with primary practice located at 301 S Tubb St Ste A-1 , Oakland FL 34760. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Multi-Specialty. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Metamorphosis Therapy, Llc can be contacted via phone (407) 395-9976, or through Dimant, Bridgett Elaine via phone (407) 285-7907.

Contact Information

Primary practice address
301 S Tubb St Ste A-1 Oakland FL 34760
Phone: (407) 395-9976
Fax: (407) 992-9368
Website:
Map and Directions
Authorized official contact:
Name: Dimant, Bridgett Elaine MS, CCC-SLP
Phone: (407) 285-7907

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 017434700 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 9096 Florida
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1942519103
LBN Legal business name Metamorphosis Therapy, Llc
DBA Doing business as
Authorized official Dimant, Bridgett Elaine MS, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2010
Last updated Jun 29th, 2018 - about 6 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 1942519103 NPPES
Florida MEDICAID 002986300

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