Organization
METAMORPHOSIS LIFE COACHING LOUNGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEASHA WALTON-ELLIS (THERAPIST)
(916) 275-4567
Entity
Organization
Contact information
Practice address
8455 OFFENHAUSER DR APT 1218, RENO, NV 89511-1754
(916) 275-4567
Mailing address
8455 OFFENHAUSER DR APT 1218, RENO, NV 89511-1754
(916) 275-4567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
05/14/2026
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