| The Metamorphosis House | |
|
829 N Lbj Dr Suite 209 San Marcos TX 78666-4694 | |
| (512) 217-6072 | |
| (512) 295-4595 |
| Full Name | The Metamorphosis House |
|---|---|
| Speciality | Counselor - Professional |
| Location | 829 N Lbj Dr, San Marcos, Texas |
| Authorized Official Name and Position | Cilly Jordan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5122176072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Metamorphosis House 829 N Lbj Dr Suite 209 San Marcos TX 78666-4694 Ph: (512) 217-6072 | The Metamorphosis House 829 N Lbj Dr Suite 209 San Marcos TX 78666-4694 Ph: (512) 217-6072 |
| NPI Number | 1326165622 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 11/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326165622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 98981 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 19069 (Texas) | Primary |
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