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NPI Code Detail

MEDICARE: METAMORPH KIDS LLC

MEDICARE: METAMORPH KIDS LLC
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 Agency
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1588530893
Entity Type Code : Organization
Provider Name (Legal Business Name) : METAMORPH KIDS LLC
Provider Business Mailing Address
First Line : 1014 DAISY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77012-2910
Country : US
Telephone Number : 504-657-4518
Fax Number : 504-657-4518
Provider Business Practice Location Address
First Line : 3300 YORKTOWN ST APT 14
Second Line :
City : HOUSTON
State : TX
Zip : 77056-6921
Country : US
Telephone Number : 504-657-4518
Fax Number : 504-657-4518
Authorized Official
Title or Position : CEO
Name : MS. COURTNI DOBBINS
Credential :
Telephone Number : 504-657-4518
Provider Enumeration Date : 10/14/2025
Last Update Date : 05/20/2026

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Directions to “METAMORPH KIDS LLC ” Practice Location

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