Organization
METAMORPHOSIS COUNSELING AND HEALTH CENTER OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL MICHELLE MILLER (EXECUTIVE DIRECTOR AND OWNER)
(208) 890-6205
Entity
Organization
Contact information
Practice address
10108 W OVERLAND RD # A, BOISE, ID 83709-1428
(208) 376-1532
(208) 375-7251
Mailing address
10108 W OVERLAND RD # A, BOISE, ID 83709-1428
(208) 376-1532
(208) 375-7251
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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