METAMORPHOSIS PSYCHCIERGE LLC NPI 1528794807

NPI Information

  • NPI: 1528794807
  • Provider Name: METAMORPHOSIS PSYCHCIERGE LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 401 E LAS OLAS BLVD STE 1400
    FORT LAUDERDALE, FL
    ZIP 33301
  • Phone: (313) 949-9467

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NPI Details

METAMORPHOSIS PSYCHCIERGE LLC is an adult mental health clinic center in Fort Lauderdale, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. METAMORPHOSIS PSYCHCIERGE LLC NPI is 1528794807. The provider is registered as an organization entity type.

The provider's business location address is:

401 E LAS OLAS BLVD STE 1400
FORT LAUDERDALE, FL
ZIP 33301-218
Phone: (313) 949-9467

The provider's authorized official is Jasmine Moore .
The authorized official title is Founder/ceo and has the following contact phone number (313) 949-9467.

The enumeration date for this NPI number is 7/28/2022 and was last updated on 7/28/2022.

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
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 3/30/2025

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