Organization
METAMORPHOSIS HEALTH, INC
Active
Organization
METAMORPHOSIS HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL MICHELLE MILLER (CEO/OWNER)
(208) 890-6205
Entity
Organization
Contact information
Practice address
10108 W OVERLAND RD STE A, BOISE, ID 83709-1428
(208) 376-1532
(208) 375-7251
Mailing address
2118 N AZURITE DR, KUNA, ID 83634-4904
(208) 376-1532
(208) 375-7251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
10/18/2023
Last updated
11/08/2023
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