Metamorphosis Counseling Center, Llc. | |
1457 4h Club Rd Suite C Denham Springs LA 70726-4972 | |
(225) 993-8301 | |
(225) 243-7652 |
Full Name | Metamorphosis Counseling Center, Llc. |
---|---|
Speciality | Social Worker - Clinical |
Location | 1457 4h Club Rd, Denham Springs, Louisiana |
Authorized Official Name and Position | Tara Michelle Demars (OWNER) |
Authorized Official Contact | 2259938301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Metamorphosis Counseling Center, Llc. Po Box 1387 Denham Springs LA 70727-1387 Ph: (225) 993-8301 | Metamorphosis Counseling Center, Llc. 1457 4h Club Rd Suite C Denham Springs LA 70726-4972 Ph: (225) 993-8301 |
NPI Number | 1699076364 |
---|---|
Provider Enumeration Date | 11/10/2010 |
Last Update Date | 07/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699076364 | NPI | - | NPPES |
1407925431 | Other | LA | BLUE CROSS/BLUE SHIELD |
12165803 | Other | LA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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