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General NPI Number Information
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NPI Number | 1194201384
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Entity Type | Organization
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Legal Business Name | METAMORPHOSIS MENTAL HEALTH FAMILY CENTER, LLC
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 28019 HWY 27 STE D
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City | DUNDEE
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State | FL
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Zip | 33838-4431
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Country | US
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Telephone | 863-438-6806
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 N PLATTE LN
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City | KISSIMMEE
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State | FL
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Zip | 34759-5969
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Country | US
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Telephone | 407-346-9898
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ELIZABETH NEGRON
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Credential | LMHC
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Telephone | 863-438-6806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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