| Metamorphosis Llc | |
|
2800 W 21st St Ste 103 Erie PA 16506-2980 | |
| (814) 790-4003 | |
| Not Available |
| Full Name | Metamorphosis Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2800 W 21st St Ste 103, Erie, Pennsylvania |
| Authorized Official Name and Position | Jessica Frick (OWNER) |
| Authorized Official Contact | 8147904003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Llc 2800 W 21st St Ste 103 Erie PA 16506-2980 Ph: (814) 790-4003 | Metamorphosis Llc 2800 W 21st St Ste 103 Erie PA 16506-2980 Ph: (814) 790-4003 |
| NPI Number | 1942904925 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942904925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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