Healthcare Provider Details

I. General information

NPI: 1821901240
Provider Name (Legal Business Name): METAMORPHOS TRANSFORMATIONAL MINISTRIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 S ZETTEROWER AVE
STATESBORO GA
30458-4806
US

IV. Provider business mailing address

305 S ZETTEROWER AVE
STATESBORO GA
30458-4806
US

V. Phone/Fax

Practice location:
  • Phone: 912-259-9700
  • Fax: 912-259-9750
Mailing address:
  • Phone: 912-259-9700
  • Fax: 912-259-9750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH LYNN HILL
Title or Position: EXECUTIVE DIRECTOR
Credential: LPC
Phone: 912-259-9700