Organization
METAMORPHOSIS COUNSELING CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA MICHELLE DEMARS LCSW (OWNER)
(225) 993-8301
Entity
Organization
Contact information
Practice address
1457 4H CLUB RD, SUITE C, DENHAM SPRINGS, LA 70726-4972
(225) 993-8301
(225) 243-7652
Mailing address
PO BOX 1387, DENHAM SPRINGS, LA 70727-1387
(225) 993-8301
(225) 243-7652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12165803
AETNA
LA
01
—
1407925431
BLUE CROSS/BLUE SHIELD
LA
Enumeration date
11/10/2010
Last updated
07/11/2016
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