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Organization
METAMORPHOSIS HEALTH AND WELLNESS CENTER, LLC
Active
Organization
METAMORPHOSIS HEALTH AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA LATRIESE HOLLOWAY LPC, NCC (OWNER)
(757) 389-3761
Entity
Organization
Contact information
Practice address
10106 KRAUSE RD STE 206, CHESTERFIELD, VA 23832-6572
(804) 991-8799
(804) 777-7770
Mailing address
10106 KRAUSE RD STE 206, CHESTERFIELD, VA 23832-6572
(804) 991-8799
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247726836
—
VA
Enumeration date
08/22/2019
Last updated
04/20/2020
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