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NPI 1699659623

NPI 1699659623 : METAMORPHOSING MIND THERAPY AND WELLNESS CENTER PLLC : MORRISVILLE, NC

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General NPI Number Information
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    NPI Number           |    1699659623
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    Entity Type          |    Organization 
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    Legal Business Name  |    METAMORPHOSING MIND THERAPY AND WELLNESS CENTER PLLC 
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Dates
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    Enumeration Date     |    08/04/2025
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    5000 SLATER CROSSING CIR APT 5212 
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    City                 |    MORRISVILLE
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    State                |    NC
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    Zip                  |    27560-4522
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    Country              |    US
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    Telephone            |    919-275-2928
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8041 BRIER CREEK PKWY # 1149 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27617-7596
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    Country              |    US
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    Telephone            |    919-275-2928
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER AND PSYCHOTHERAPIST
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    Name                 |    MRS. JHARNELL COFIELD CHERRY 
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    Credential           |    MSW, LCSW
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    Telephone            |    919-275-2928
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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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