METAMORPHOSIS BEHAVIORAL SUPPORT & PSYCHOTHERAPY (NPI# 1427561810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427561810 |
| Entity Type | Organization |
| Organization Name | METAMORPHOSIS BEHAVIORAL SUPPORT & PSYCHOTHERAPY |
| Practice Address |
4206 Little York # 23604 Houston TX 77228-1276 |
| Mailing Address |
Po Box 23604 Houston TX 77228-3604 |
| Practice Telephone | 7137143800 |
| Mailing Telephone | 7137143800 |
| Mailing Fax Number | 7134562427 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. TONYA MONIQUE PEAVY (OWNER/CHIEF PSYCHOTHERAPIST) |
| Authorized Official Telephone | 7137143800 |
| Authorized Official Credential | PSYD, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
74141 | TX | Behavioral Health & Social Service Providers |
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10900 Northwest Fwy Ste 205, Houston, TX 770927317 | 7137143800 |
| Street Address |
4206 LITTLE YORK # 23604 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77228-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1437750239 | Vincent Trinh | Massage Therapist | 8219 La Roche Ln, Houston, TX 77036-7305 | 2020-11-06 |
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1932700838 | Ucasa, LLC | Technician | 11200 Westheimer Rd Ste 115, Houston, TX 77042-3236 | 2020-11-06 |
| 1942801998 | Sharonfa Lee Hardy | Driver | 7706 Darnay Dr, Houston, TX 77033-3534 | 2020-11-05 |
| 1295336253 | Dawnestel Fodeibou | Lactation Consultant, Non-RN | 3354 Strong Winds Dr, Houston, TX 77014-2862 | 2020-11-05 |
| 1033710991 | Imayarze Limonta-cordero | Registered Nurse | 14119 Sandhill Crane Dr, Houston, TX 77044-4413 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| Find all providers in HOUSTON | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447884333 | Ace Behavioral Health Services | Clinic/Center | 3626 Royal Royce Dr, Houston, TX 77042-4227 | 2020-02-28 |
| 1174157689 | Sound Mind Psychiatry Pllc | Clinic/Center | 105 W Hamilton St, Houston, MS 38851-2209 | 2020-02-24 |
| 1083252902 | More 2 Life Mental Health LLC | Clinic/Center | 11811 North Fwy Ste 555, Houston, TX 77060-3245 | 2019-12-11 |
| 1154968261 | Inherent Wellness, Pllc | Clinic/Center | 2500 E Tc Jester Blvd Ste 241, Houston, TX 77008-1449 | 2019-12-08 |
| 1861035818 | The Mendcenter Foundation | Clinic/Center | 1973 W Gray St Ste 22, Houston, TX 77019-4811 | 2019-10-22 |
| 1407403074 | Del Torres Behavioral Health and Wellness | Clinic/Center | 11903 Duran Canyon Ln, Houston, TX 77067-5217 | 2019-08-19 |
| 1285294900 | Malaty Therapy | Clinic/Center | 9545 Katy Fwy Ste 425, Houston, TX 77024-1412 | 2019-06-14 |
| 1841755618 | Miracle Mind Counseling Center LLC | Clinic/Center | 5850 W Gulf Bank Rd Apt 505, Houston, TX 77088-4125 | 2019-02-06 |
| 1689144867 | Anchoring Hopes Wellness Recovery Institute | Clinic/Center | 3925 Old Galveston Rd Bldg A, Houston, TX 77017-2517 | 2018-11-29 |
| 1174092977 | Niche Medical Academy Inc | Clinic/Center | 7066 Lakeview Haven Dr Ste 125b, Houston, TX 77095-2560 | 2018-11-21 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on METAMORPHOSIS BEHAVIORAL SUPPORT & PSYCHOTHERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.