| 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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