| Metamorphosis Counseling & Consulting Llc | |
|
2020 Brice Rd Ste 110 Reynoldsburg OH 43068-3448 | |
| (614) 300-3015 | |
| (614) 344-7548 |
| Full Name | Metamorphosis Counseling & Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 2020 Brice Rd Ste 110, Reynoldsburg, Ohio |
| Authorized Official Name and Position | Darrin Peterson (CEO) |
| Authorized Official Contact | 6143003015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Counseling & Consulting Llc 2020 Brice Rd Ste 110 Reynoldsburg OH 43068-3448 Ph: (614) 300-3015 | Metamorphosis Counseling & Consulting Llc 2020 Brice Rd Ste 110 Reynoldsburg OH 43068-3448 Ph: (614) 300-3015 |
| NPI Number | 1821382078 |
|---|---|
| Provider Enumeration Date | 06/06/2011 |
| Last Update Date | 12/09/2023 |
| Certification Date | 12/09/2023 |
| Medicare PECOS PAC ID | 0749620821 |
|---|---|
| Medicare Enrollment ID | O20240507000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821382078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E0700886 (Ohio) | Primary |
| Provider Name | Darrin Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912036575 PECOS PAC ID: 1658711734 Enrollment ID: I20240507002980 |
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