Organization
METAMORPHOSIS PSYCHCIERGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASMINE MOORE DNP, APRN (FOUNDER/CEO)
(313) 949-9467
Entity
Organization
Contact information
Practice address
401 E LAS OLAS BLVD STE 1400, FORT LAUDERDALE, FL 33301-2218
(313) 949-9467
Mailing address
4920 SHALIMAR LN APT 4109, DAVIE, FL 33328-7171
(313) 949-9467
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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