METAMORPHOSIS HEALTH AND WELLNESS CENTER, LLC (NPI# 1962059006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962059006 |
| Entity Type | Organization |
| Organization Name | METAMORPHOSIS HEALTH AND WELLNESS CENTER, LLC |
| Practice Address |
10106 Krause Rd Ste 206 Chesterfield VA 23832-6572 |
| Practice Telephone | 8049918799 |
| Practice Fax Number | 8047777770 |
| Mailing Telephone | 8049918799 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | MRS. MONICA LATRIESE HOLLOWAY (OWNER) |
| Authorized Official Telephone | 7573893761 |
| Authorized Official Credential | LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 247726836 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11800 Centre St, Chester, VA 238311781 | 7573893761 |
| Street Address |
10106 KRAUSE RD STE 206 |
| City | CHESTERFIELD |
| State | VA |
| Zip Code | 23832-6572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447808274 | Monica Latriese Holloway | Counselor | 10106 Krause Rd Ste 206, Chesterfield, VA 23832-6572 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019754 | Sandra Hill | Counselor | 6900 Mimms Dr, Chesterfield, VA 23832 | 2020-06-26 |
| 1285256222 | Robin Ratliff Jones | Counselor | 6801 Lucy Blvd., 92, Chesterfield Mental Health, Chesterfield, VA 23832 | 2020-05-13 |
| 1629616495 | Chantell Nicole Randolph | Technician | 6519 Brambleton Rd, Chesterfield, VA 23832 | 2019-12-12 |
| 1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
| 1467934828 | Lorien Wilder Lcsw LLC | Clinic/Center | 9844 Lori Road Suite 102, Chesterfield, VA 23832 | 2018-09-03 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1659860245 | Kaitlyn Moore | Behavior Technician | 7807 Hampton Summit Ter, Chesterfield, VA 23832 | 2018-05-09 |
| 1205337417 | Vitalcare Family LLC | Family Medicine | 7300 Ashlake Parkway, Chesterfield, VA 23832 | 2018-02-22 |
| 1205200599 | Chippenham & Johnston-willis Hospitals, Inc. | Clinic/Center | 14720 Hancock Village Street, Chesterfield, VA 23832 | 2015-11-24 |
| 1265801823 | Village Counseling Services, LLC | Community/Behavioral Health | 7305 Hancock Village Drive, Suite 315, Chesterfield, VA 23832 | 2015-09-24 |
| Find all providers in zip 23832 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932675782 | Denise R Etherton | Counselor | 224 S Woods Mill Rd Ste 550s, Chesterfield, MO 63017-3612 | 2018-10-19 |
| 1851883938 | Chandra Dionne Bailey | Counselor | 6406 E Banes Ct, Chesterfield, VA 23832-8247 | 2018-06-04 |
| 1265939375 | Rowe Counseling Services | Counselor | 9520 Iron Bridge Rd Ste 21a, Chesterfield, VA 23832-6455 | 2018-04-06 |
| 1528581014 | Krista Mertz | Counselor | 16020 Swingley Ridge Rd Ste 335, Chesterfield, MO 63017-6062 | 2017-07-17 |
| 1447796941 | Susan Kapernick | Counselor | 52767 Weathervane Dr, Chesterfield, MI 48047-3138 | 2017-01-09 |
| 1568907749 | Diane Mccarthy Prost | Counselor | 17280 N Outer 40 Rd Ste 201e, Chesterfield, MO 63005-1445 | 2016-12-27 |
| 1124570536 | Jessica Ann Meisner | Counselor | 267a Sykesville Rd, Chesterfield, NJ 08515-2408 | 2016-11-02 |
| 1134580566 | Jami B Hedrick | Counselor | 13507 Pungo Ct, Chesterfield, VA 23838-3245 | 2016-03-12 |
| 1417328477 | Grace Counseling, Inc | Counselor | 34474 23 Mile Rd, Chesterfield, MI 48047-2003 | 2015-10-15 |
| 1902201767 | Angela Sastry | Counselor | 15969 Downall Green Dr, Chesterfield, MO 63017-7319 | 2014-10-22 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 23832 |
Please comment or provide details below to improve the information on METAMORPHOSIS HEALTH AND WELLNESS CENTER, LLC.
| 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.