Organization
METAMORPHOSIS PSYCHE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTE BOYD DNP, PMHNP-BC, FNP-C (CEO, MGR, DNP)
(954) 906-4106
Entity
Organization
Contact information
Practice address
8333 W MCNAB RD STE 200, TAMARAC, FL 33321-3203
(954) 906-4106
(954) 906-4029
Mailing address
PO BOX 101077, FORT LAUDERDALE, FL 33310-1077
(954) 906-4106
(954) 906-4029
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
9295246
FL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9295246
APRN
FL
Enumeration date
11/26/2017
Last updated
04/10/2025
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