METAMORPHOSIS COUNSELING SERVICES LLC NPI 1871003293

NPI Information

NPI: 1871003293
Provider Name: METAMORPHOSIS COUNSELING SERVICES, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
106 FARMINGTON AVE STE 2B
NEW BRITAIN, CT
ZIP 06053
Phone: (860) 902-7050
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METAMORPHOSIS COUNSELING SERVICES, LLC is an addiction (substance use disorder) counselor in New Britain, CT. METAMORPHOSIS COUNSELING SERVICES, LLC NPI is 1871003293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 FARMINGTON AVE STE 2B
NEW BRITAIN, CT
ZIP 06053-977
Phone: (860) 902-7050
Fax: (860) 902-7050

The provider's authorized official is Dennisse Vazquez .
The authorized official title is Licensed Drug And Alcohol Counselor and has the following contact phone number (860) 902-7050.

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

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000883	CONNECTICUT	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	008038649	MEDICAID	CONNECTICUT

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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