| Metamorphosis Health And Wellness Center, Llc | |
|
10106 Krause Rd Ste 206 Chesterfield VA 23832-6572 | |
| (804) 991-8799 | |
| (804) 777-7770 |
| Full Name | Metamorphosis Health And Wellness Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10106 Krause Rd Ste 206, Chesterfield, Virginia |
| Authorized Official Name and Position | Monica Latriese Holloway (OWNER) |
| Authorized Official Contact | 7573893761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Health And Wellness Center, Llc 10106 Krause Rd Ste 206 Chesterfield VA 23832-6572 Ph: (804) 991-8799 | Metamorphosis Health And Wellness Center, Llc 10106 Krause Rd Ste 206 Chesterfield VA 23832-6572 Ph: (804) 991-8799 |
| NPI Number | 1962059006 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 04/20/2020 |
| Certification Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962059006 | NPI | - | NPPES |
| 247726836 | Medicaid | VA |
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