| Metamorphosis Soul Healing, Llc | |
|
74 Liborio Ln Smyrna DE 19977-7711 | |
| (484) 816-8510 | |
| Not Available |
| Full Name | Metamorphosis Soul Healing, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 74 Liborio Ln, Smyrna, Delaware |
| Authorized Official Name and Position | Jeanne Felicia Mayo (OWNER) |
| Authorized Official Contact | 4848168510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Soul Healing, Llc 74 Liborio Ln Smyrna DE 19977-7711 Ph: (484) 816-8510 | Metamorphosis Soul Healing, Llc 74 Liborio Ln Smyrna DE 19977-7711 Ph: (484) 816-8510 |
| NPI Number | 1578157293 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578157293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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