# METAMORPHOSIS PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1972479582
- **Authorized official:** CAROLYN GAECKLE APRN (OWNER AND PROVIDER)
- **Authorized official phone:** (802) 216-8480

## Contact information

- **Practice address:** 454 FREEMAN RD, NORTHFIELD, VT 05663-6230
- **Practice address phone:** (802) 216-8480
- **Mailing address:** PO BOX 344, WATERBURY CENTER, VT 05677-0344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2025
- **Last updated:** 10/13/2025