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NPI Code Detail

MEDICARE: METAMORPHOSIS COUNSELING SERVICES, PLLC

MEDICARE: METAMORPHOSIS COUNSELING SERVICES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency4085OK

General Provider Information

NPI Number : 1477862449
Entity Type Code : Organization
Provider Name (Legal Business Name) : METAMORPHOSIS COUNSELING SERVICES, PLLC
Provider Business Mailing Address
First Line : PO BOX 4333
Second Line :
City : TULSA
State : OK
Zip : 74159-0333
Country : US
Telephone Number : 918-583-2008
Fax Number : 918-583-5413
Provider Business Practice Location Address
First Line : 205 E PINE ST STE 8
Second Line :
City : TULSA
State : OK
Zip : 74106-4855
Country : US
Telephone Number : 918-932-8390
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : TRISHA W WHITE
Credential : LPC-S AND LADC
Telephone Number : 918-932-8390
Provider Enumeration Date : 09/24/2010
Last Update Date : 07/09/2019

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Directions to “METAMORPHOSIS COUNSELING SERVICES, PLLC ” Practice Location

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