METAMORPHOSIS PSYCHE LLC NPI 1356855639

NPI Information

NPI: 1356855639
Provider Name: METAMORPHOSIS PSYCHE LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
6101 W ATLANTIC BLVD STE 202
MARGATE, FL
ZIP 33063
Phone: (954) 906-4106
Get Directions

METAMORPHOSIS PSYCHE LLC is a psychiatric/mental health nurse practitioner in Margate, FL. METAMORPHOSIS PSYCHE LLC NPI is 1356855639. The provider is registered as an organization entity type.

The provider's business location address is:

6101 W ATLANTIC BLVD STE 202
MARGATE, FL
ZIP 33063-157
Phone: (954) 906-4106
Fax: (954) 906-4029

The provider's authorized official is Celeste Boyd .
The authorized official title is Ceo, Mgr, Dnp and has the following contact phone number (954) 906-4106.

The enumeration date for this NPI number is 11/26/2017 and was last updated on 4/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	9295246	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family			No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9295246	OTHER	FLORIDA	APRN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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