Metamorphosis Psychcierge Llc | |
401 E Las Olas Blvd Ste 1400 Fort Lauderdale FL 33301-2218 | |
(313) 949-9467 | |
Not Available |
Full Name | Metamorphosis Psychcierge Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 401 E Las Olas Blvd Ste 1400, Fort Lauderdale, Florida |
Authorized Official Name and Position | Jasmine Moore (FOUNDER/CEO) |
Authorized Official Contact | 3139499467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Metamorphosis Psychcierge Llc 4920 Shalimar Ln Apt 4109 Davie FL 33328-7171 Ph: (313) 949-9467 | Metamorphosis Psychcierge Llc 401 E Las Olas Blvd Ste 1400 Fort Lauderdale FL 33301-2218 Ph: (313) 949-9467 |
NPI Number | 1528794807 |
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Provider Enumeration Date | 07/28/2022 |
Last Update Date | 07/28/2022 |
Certification Date | 07/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528794807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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