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General NPI Number Information
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NPI Number | 1194607259
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Entity Type | Organization
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Legal Business Name | METAMORPHOS TRANSFORMATIONAL MINISTRIES, INC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 305 S ZETTEROWER AVE
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City | STATESBORO
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State | GA
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Zip | 30458-4806
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Country | US
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Telephone | 912-317-8750
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6
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City | STATESBORO
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State | GA
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Zip | 30459-0006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEBORAH HILL
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Credential |
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Telephone | 912-317-8750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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