Organization
LIFE'S METAMORPHOSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LYNN WARDLAW LPC (CEO/LICENSED PROFESSIONAL COUNSELOR)
(267) 419-7846
Entity
Organization
Contact information
Practice address
201 YORK RD STE 1-564, JENKINTOWN, PA 19046-3200
(267) 419-7846
(267) 427-8278
Mailing address
7914 WALTHAM RD, CHELTENHAM, PA 19012-1713
(215) 407-0208
(267) 427-8278
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/21/2023
Last updated
07/12/2023
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