# METAMORPHOSIS PSYCHE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356855639
- **Authorized official:** DR. CELESTE BOYD DNP, PMHNP-BC, FNP-C (CEO, MGR, DNP)
- **Authorized official phone:** (954) 906-4106

## Contact information

- **Practice address:** 8333 W MCNAB RD STE 200, TAMARAC, FL 33321-3203
- **Practice address phone:** (954) 906-4106
- **Practice address fax:** (954) 906-4029
- **Mailing address:** PO BOX 101077, FORT LAUDERDALE, FL 33310-1077
- **Mailing address phone:** (954) 906-4106
- **Mailing address fax:** (954) 906-4029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | 9295246 | FL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2017
- **Last updated:** 04/10/2025